Organization Active NPI

Innovation Behavioral Health Solutions, LLC

  • Rehabilitation Hospital Unit
  • Las Vegas, NV
National Provider Identifier
1750678199
Registry record updated Jul 6, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
INNOVATION BEHAVIORAL HEALTH SOLUTIONS, LLC
Practice address
2340 Paseo del Prado Ste D305
Las Vegas, NV 89102-4342
Phone
(866) 604-6812
NPI assigned
Jul 6, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2011

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

Authorized official

Name
Mrs. Sandra Gray, B.A.; M.S. STUDENT
Title
Owner/Ceo
Phone
(702) 541-3563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X Primary

Addresses

Primary practice location

2340 Paseo del Prado Ste D305
Las Vegas, NV 89102-4342

Mailing address

1876 Verde Mirada Dr
Las Vegas, NV 89115-3844
Phone (702) 541-3563

National Provider Directory

National Provider Directory

Locations

2340 Paseo del Prado
Ste D305
Las Vegas, NV 89102
Phone (866) 604-6812

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": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1750678199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1876 VERDE MIRADA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891153844",
            "telephone_number": "702-541-3563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2340 PASEO DEL PRADO STE D305",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024342",
            "telephone_number": "866-604-6812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATION BEHAVIORAL HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "702-541-3563",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "B.A.; M.S. STUDENT"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "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 Jul 6, 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.