Granny'S House of Healing, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRANNY'S HOUSE OF HEALING, INC

Practice address

6509 Chatterer St
North Las Vegas, NV 89084-2254

Phone

(702) 628-4783

Fax

(702) 924-1264

NPI assigned

Jan 2, 2013

Organization subpart

No

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

Authorized official

Name

Doretha Scott

Title

President

Phone

(702) 628-4783

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1357084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357084800000",
    "number": "1740526250",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6509 CHATTERER ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842254",
            "telephone_number": "702-628-4783",
            "fax_number": "702-924-1264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6509 CHATTERER ST",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890842254",
            "telephone_number": "702-628-4783",
            "fax_number": "702-924-1264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANNY'S HOUSE OF HEALING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-02",
        "last_updated": "2013-01-02",
        "status": "A",
        "authorized_official_last_name": "SCOTT",
        "authorized_official_first_name": "DORETHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-628-4783"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quanisha Graham
• Tiera G Graham
• Amalia Grajeda
• Kirly Lizeth Grande
• Jodi Ann Granello, ARNP
• Anjelica Tianna Grant
• Cindy Grant
• Kheris Grant
• Mikeeah Grant
• Monique Grant

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North 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 Jan 2, 2013; 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.