Organization Active NPI

Daniel Wellcare LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1740764430
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
DANIEL WELLCARE LLC
Practice address
2701 N Decatur Blvd Apt 2017
Las Vegas, NV 89108-2965
Phone
(702) 789-0009
NPI assigned
Sep 19, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2018

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

Authorized official

Name
Daniel Cook
Title
Ceo
Phone
(702) 789-0009

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2701 N Decatur Blvd Apt 2017
Las Vegas, NV 89108-2965

Mailing address

2701 N Decatur Blvd Apt 2017
Las Vegas, NV 89108-2965
Phone (702) 789-0009

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1537315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537315200000",
    "number": "1740764430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR BLVD APT 2017",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082965",
            "telephone_number": "702-789-0009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2701 N DECATUR BLVD APT 2017",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891082965",
            "telephone_number": "702-789-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DANIEL WELLCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-09-19",
        "last_updated": "2018-09-19",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-789-0009"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Sep 19, 2018; 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.