NPIMap

Organization Active NPI

Aldis Therapy Services

  • Clinical Social Worker
  • Henderson, NV
National Provider Identifier
1740832617
Registry record updated Mar 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
ALDIS THERAPY SERVICES
Doing business as
Revival Therapy
Practice address
2470 Saint Rose Pkwy Ste 101
Henderson, NV 89074-7773
Phone
(702) 808-8141
NPI assigned
Jul 11, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2024

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

Authorized official

Name
Danny Aldis
Title
Co-Owner
Phone
(702) 401-1345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

2470 Saint Rose Pkwy Ste 101
Henderson, NV 89074-7773

Mailing address

1311 Tempo St
Henderson, NV 89052-6502
Phone (702) 808-8141

Other identifiers 1

IdentifierTypeStateIssuer
1669771978MedicaidNV

Other names 1

  • Revival Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Aldis Therapy Services3 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.

Locations

2470 Saint Rose Pkwy
Ste 101
Henderson, NV 89074
Phone (702) 401-1345

2990 Sunridge Heights Pkwy
Ste 140
Henderson, NV 89052
Phone (702) 808-8141

Practitioners & affiliated clinicians

Practitioners 1

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": "1562803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710892800000",
    "number": "1740832617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 TEMPO ST",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890526502",
            "telephone_number": "702-808-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 SAINT ROSE PKWY STE 101",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747773",
            "telephone_number": "702-808-8141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALDIS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-11",
        "last_updated": "2024-03-20",
        "certification_date": "2022-02-03",
        "status": "A",
        "authorized_official_last_name": "ALDIS",
        "authorized_official_first_name": "DANNY",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "702-401-1345"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1669771978",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Revival Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Revival Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.