NPIMap

Organization Active NPI

Vogue Recovery Center, LLC

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
National Provider Identifier
1740810316
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
VOGUE RECOVERY CENTER, LLC
Practice address
4011 McLeod Dr Unit B
Las Vegas, NV 89121-4305
Phone
(818) 916-8116
NPI assigned
Jan 22, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Authorized official

Name
George Boyadzhyan
Title
Owner
Phone
(818) 916-8116

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

4011 McLeod Dr Unit B
Las Vegas, NV 89121-4305

Mailing address

16501 Sherman Way Ste 100
Van Nuys, CA 91406-3757
Phone (818) 916-8116

National Provider Directory

National Provider Directory
Tax ID family
Vogue Recovery Center LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4011 McLeod Dr
Unit B
Las Vegas, NV 89121
Phone (818) 916-8116

NPI Registry JSON

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

{
    "created_epoch": "1579651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579651200000",
    "number": "1740810316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16501 SHERMAN WAY STE 100",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914063757",
            "telephone_number": "818-916-8116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4011 MCLEOD DR UNIT B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214305",
            "telephone_number": "818-916-8116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VOGUE RECOVERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-22",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A",
        "authorized_official_last_name": "BOYADZHYAN",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-916-8116"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Jan 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.