NPIMap

Organization Active NPI

Excel Behavioral & Community Services, Inc

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1740622794
Registry record updated Jul 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
EXCEL BEHAVIORAL & COMMUNITY SERVICES, INC
Practice address
2401 W Bonanza Rd
L
Las Vegas, NV 89106-4774
Phone
(702) 372-5519
Fax
(702) 359-0041
NPI assigned
Jul 18, 2013
Organization subpart
Yes
Parent organization
EXCEL EXTENDED CARE ORGANIZATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 18, 2013

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

Authorized official

Name
Miss Giovanna BraggsNPI 1184066136
Title
Direct Supervisor
Phone
(702) 358-7636

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)CodeLicenseStatePrimary
Rehabilitation PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 225400000X NV Primary

Addresses

Primary practice location

2401 W Bonanza Rd
L
Las Vegas, NV 89106-4774

Mailing address

2401 W Bonanza Rd
L
Las Vegas, NV 89106-4774
Phone (702) 372-5519

National Provider Directory

National Provider Directory
Tax ID family
Excel Behavioral Community Services2 organizations share this tax ID, including this one
Part of
Excel Extended Care Organization

Other organizations with this tax ID 1

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1374105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374105600000",
    "number": "1740622794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2401 W BONANZA RD",
            "address_2": "L",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064774",
            "telephone_number": "702-372-5519",
            "fax_number": "702-359-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W BONANZA RD",
            "address_2": "L",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064774",
            "telephone_number": "702-372-5519",
            "fax_number": "702-359-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL BEHAVIORAL & COMMUNITY SERVICES, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EXCEL EXTENDED CARE ORGANIZATION",
        "enumeration_date": "2013-07-18",
        "last_updated": "2013-07-18",
        "status": "A",
        "authorized_official_last_name": "BRAGGS",
        "authorized_official_first_name": "GIOVANNA",
        "authorized_official_title_or_position": "DIRECT SUPERVISOR",
        "authorized_official_telephone_number": "702-358-7636",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Rehabilitation Practitioner",
            "state": "NV",
            "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 Jul 18, 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.