Active NPI
Mama Dukes Healthcare Services LLC
- Rehabilitation Counselor
- Las Vegas, NV
National Provider Identifier
1689214876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Counselor
- Legal business name
- MAMA DUKES HEALTHCARE SERVICES LLC
- Practice address
- 9908 Masterpeice Drive
Las Vegas, NV 89148 - Phone
- (323) 702-3853
- NPI assigned
- Jan 15, 2020
- 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
- Michelle A Dukes
- Title
- Owner
- Phone
- (323) 702-3853
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 |
|---|---|---|---|---|
| Rehabilitation Counselor | 225C00000X | Primary |
Addresses
Primary practice location
9908 Masterpeice Drive
Las Vegas, NV 89148
Mailing address
9908 Masterpeice Drive
Las Vegas, NV 89148
Phone (323) 702-3853
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1215577499
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1579046400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1579046400000",
"number": "1689214876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9908 MASTERPEICE DRIVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "323-702-3853"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9908 MASTERPEICE DRIVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89148",
"telephone_number": "323-702-3853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAMA DUKES HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-01-15",
"last_updated": "2020-01-15",
"certification_date": "2020-01-15",
"status": "A",
"authorized_official_last_name": "DUKES",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "323-702-3853"
},
"taxonomies": [
{
"code": "225C00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Rehabilitation Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jan 15, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.