Active NPI
Cycles of Change Recovery Services, LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Las Vegas, NV
National Provider Identifier
1689170862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- License
- NV20171772492
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Hunter
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| NV20171772492 | Other | NV | NEVADA DIVISION OF PUBLIC AND BEHAVIORAL HEALTH SUBSTANCE ABUSE PREVENTION |
National Provider Directory
National Provider DirectoryLocations
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.
-
- Addiction (Substance Use Disorder) Counselor
- Lancaster, CA
- NPI 1790436806
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.