Carol Jean Hanson

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

1194003269 Issued in NV

Practice address

1445 American Pacific Dr
#110-301
Henderson, NV 89074-7402

Phone

(702) 744-7696

NPI assigned

Aug 10, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Sozo Family Services Inc.

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1194003269
  NPD (past)

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

{
    "created_epoch": "1312934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312934400000",
    "number": "1750660551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NADINE WAY",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890053352",
            "telephone_number": "702-884-5947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 AMERICAN PACIFIC DR",
            "address_2": "#110-301",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747402",
            "telephone_number": "702-744-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANSON",
        "first_name": "CAROL",
        "middle_name": "JEAN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-10",
        "last_updated": "2011-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "1194003269",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Randi Hannan
• Michael James Hannett, PT, DPT, CSCS
• Evelyn Hannigan
• Sean Hansen, PHARM.D.
• Alexandria Jule Hanson
• Julie C Hanson, P.T.
• Zachary David Hanson, M.D.
• Ali Haq, MD, MBBS
• Haroon Haq, M.D.
• Sabina L. Harada

• Community/Behavioral Health Agency in Henderson, NV
• Providers in Henderson, 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 Aug 10, 2011; 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.