Community Health Resources LLC

Primary specialty

Health PsychologistTaxonomy code 103TH0004X

Legal business name

COMMUNITY HEALTH RESOURCES LLC

Practice address

2215 Renaissance Dr Ste C
Las Vegas, NV 89119-6729

Phone

(725) 240-2266

NPI assigned

Apr 29, 2021

Last updated

Apr 29, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ginalyn Baltazar-Sumbang

Title

Managing Member

Phone

(702) 328-4851

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619654400000",
    "number": "1760065775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6069 S FORT APACHE RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485579",
            "telephone_number": "702-328-4851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2215 RENAISSANCE DR STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196729",
            "telephone_number": "725-240-2266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY HEALTH RESOURCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-29",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "BALTAZAR-SUMBANG",
        "authorized_official_first_name": "GINALYN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-328-4851"
    },
    "taxonomies": [
        {
            "code": "103TH0004X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "EOI",
            "affiliation": "N",
            "address_1": "2215 Renaissance Dr Ste C",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891196729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community Health Solutions
• Community Health Workers of Nevada (CHW of Nevada)
• Community Health, LLC
• Community Home Health, Inc.

• Health Psychologist in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Health Psychologist in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.