Eagle Quest of Nevada, Incorporated

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAGLE QUEST OF NEVADA, INCORPORATED

Practice address

4612 Evan Ridge CT
Las Vegas, NV 89129-1624

Phone

(702) 375-1488

Fax

(702) 396-4193

NPI assigned

Feb 22, 2007

Last updated

Aug 22, 2020By 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

David R. Doyle

Title

Director of Operations

Phone

(702) 376-0612

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1730214651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4612 EVAN RIDGE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291624",
            "telephone_number": "702-375-1488",
            "fax_number": "702-396-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 EVAN RIDGE CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891291624",
            "telephone_number": "702-375-1488",
            "fax_number": "702-396-4193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE QUEST OF NEVADA, INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DOYLE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "702-376-0612"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eagle Mind Health Services LLC
• Eagle Quest
• Eagle Quest
• Eagle Quest
• Eagle Quest of Nevada
• Andre Eagles
• Shelby Eagleton
• Debra Eakin
• Latanesha Ealy-Woods
• Thomas Harry Ealy III, PHARMD

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.