NPIMap

Organization Active NPI

Home of Possibilities

  • Public Health or Welfare Agency
  • Las Vegas, NV
National Provider Identifier
1730545112
Registry record updated Jan 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health or Welfare AgencyTaxonomy code 251K00000X
Legal business name
HOME OF POSSIBILITIES
Practice address
400 S 4TH St Ste 500
Las Vegas, NV 89101-6207
Phone
(702) 793-4233
NPI assigned
Jan 14, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2016

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

Authorized official

Name
Cory Ron Bieniemy
Title
Ceo
Phone
(619) 549-7044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health or Welfare Agency 251K00000X Primary

Addresses

Primary practice location

400 S 4TH St Ste 500
Las Vegas, NV 89101-6207

Mailing address

400 S 4TH St Ste 500
Las Vegas, NV 89101-6207
Phone (702) 793-4233

Other identifiers 1

IdentifierTypeStateIssuer
1538499876MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Home of Possibilities3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1452729600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452729600000",
    "number": "1730545112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016207",
            "telephone_number": "702-793-4233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016207",
            "telephone_number": "702-793-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME OF POSSIBILITIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-14",
        "last_updated": "2016-01-14",
        "status": "A",
        "authorized_official_last_name": "BIENIEMY",
        "authorized_official_first_name": "CORY",
        "authorized_official_middle_name": "RON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "619-549-7044"
    },
    "taxonomies": [
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1538499876",
            "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 Jan 14, 2016; 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.