Prevention Gambler Foundation

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Legal business name

PREVENTION GAMBLER FOUNDATION

Doing business as

Community Health Services
Prevention Gambler Foundation

Practice address

6285 Angora Peak LN
Las Vegas, NV 89115-1662

Phone

(954) 860-3216

NPI assigned

May 7, 2024

Last updated

May 7, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Rita G Dominguez, GAMBLING COUNSELOR

Title

President

Phone

(954) 860-3216

Specialties & licenses 1

Addresses

Other names 3

• Community Health Services Doing business as
• Prevention Gambler Foundation Doing business as
• Communy HealthServices Former legal business name

Tax ID family

Community Health Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Prevention Gambler Foundation Non Profit

  • Pastoral Counselor
  • North Las Vegas, NV
  • NPI 1144047713
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rita Genoveva Dominguez Roman, CHW2

  • Community Health Worker
  • Las Vegas, NV
  • NPI 1396521241
  NPD

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

{
    "created_epoch": "1715040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715040000000",
    "number": "1720836570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S RAINBOW BLVD STE 162",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456232",
            "telephone_number": "954-860-3216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6285 ANGORA PEAK LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891151662",
            "telephone_number": "954-860-3216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREVENTION GAMBLER FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-07",
        "last_updated": "2024-05-07",
        "certification_date": "2024-05-07",
        "status": "A",
        "authorized_official_last_name": "DOMINGUEZ",
        "authorized_official_first_name": "RITA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-860-3216",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "GAMBLING COUNSELOR"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Health Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Prevention Gambler Foundation",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Communy HealthServices",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Hilda Uche Pretty
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• Prevail Today Center for Recovery
• Preventative Diagnostic Center LLC
• Camela Previti
• Diana Prevost
• Earlita Prewitt
• Milagros Jamito Prianes
• Jennifer A Priborsky

• Community Health Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Health Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2024; 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.