Organization Active NPI

Cycles of Change Recovery Services, LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1689170862
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
NV20171772492 Issued in NV
Legal business name
CYCLES OF CHANGE RECOVERY SERVICES, LLC
Practice address
6069 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5579
Phone
(702) 749-5913
NPI assigned
Apr 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Joseph HunterNPI 1790436806
Title
Operation Manager
Phone
(818) 497-8177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X NV20171772492 NV Primary

Addresses

Primary practice location

6069 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5579

Mailing address

6069 S Fort Apache Rd Ste 130
Las Vegas, NV 89148-5579

Other identifiers 1

IdentifierTypeStateIssuer
NV20171772492OtherNVNEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH SUBSTANCE ABUSE PREVENTION

National Provider Directory

National Provider Directory

Locations

6069 S Fort Apache Rd
Ste 130
Las Vegas, NV 89148
Phone (702) 749-5913

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1689170862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6069 S FORT APACHE RD STE 130",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485579",
            "telephone_number": "702-749-5913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CYCLES OF CHANGE RECOVERY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-05",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_title_or_position": "OPERATION MANAGER",
        "authorized_official_telephone_number": "818-497-8177"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "NV",
            "license": "NV20171772492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH SUBSTANCE ABUSE PREVENTION",
            "identifier": "NV20171772492",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in 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 16, 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.