NPIMap

Organization Active NPI

North Las Vegas Behavioral Health

Doing business as North Las Vegas Adult Day Health Center

  • Adult Day Care Clinic/Center
  • North Las Vegas, NV
National Provider Identifier
1679068589
Registry record updated Jun 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
NORTH LAS VEGAS BEHAVIORAL HEALTH
Doing business as
North Las Vegas Adult Day Health Center
Practice address
3277 W Craig Rd Ste 100-130
North Las Vegas, NV 89032-0792
Phone
(702) 586-5999
Fax
(702) 586-5991
NPI assigned
Jun 25, 2018
Last updated
Jun 25, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH LAS VEGAS BEHAVIORAL HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kirk A Wan
Title
Owner
Phone
(702) 586-5999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X NU Primary

Addresses

Primary practice location

3277 W Craig Rd Ste 100-130
North Las Vegas, NV 89032-0792

Mailing address

3131 W Craig Rd Ste 180
North Las Vegas, NV 89032-0861
Phone (702) 469-7897

Other identifiers 1

IdentifierTypeStateIssuer
1578935508MedicaidNV

Other names 1

  • North Las Vegas Adult Day Health Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
North Las Vegas Behavioral Health4 organizations share this tax ID, including this one
Part of
North Las Vegas Behavioral Health

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1679068589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 W CRAIG RD STE 180",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320861",
            "telephone_number": "702-469-7897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 W CRAIG RD STE 100-130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890320792",
            "telephone_number": "702-586-5999",
            "fax_number": "702-586-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH LAS VEGAS BEHAVIORAL HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH LAS VEGAS BEHAVIORAL HEALTH",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "WAN",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-586-5999"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1578935508",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Las Vegas Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "North Las Vegas Adult Day Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.