Bamboo Sunrise LLC

Primary specialty

Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X

Legal business name

BAMBOO SUNRISE LLC

Practice address

6171 W Charleston Blvd BLDG 11
Las Vegas, NV 89146-1126

Phone

(702) 433-3038

NPI assigned

May 3, 2023

Organization subpart

No

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

Authorized official

Name

Shirley Holdeman

Title

Ceo/Owner

Phone

(702) 433-3038

Specialties & licenses 1

Addresses

Tax ID family

Bamboo Sunrise LLC3 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.

• Bamboo Sunrise LLC

  • Community/Behavioral Health Agency
  • Henderson, NV
  • NPI 1942577994
  NPD tax ID
• Bamboo Sunrise LLC

  • Foster Care Agency
  • Henderson, NV
  • NPI 1982281846
  NPD tax ID

Locations

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

{
    "created_epoch": "1683072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1760171938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 E LAKE MEAD PKWY STE 201",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890156443",
            "telephone_number": "702-433-3038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6171 W CHARLESTON BLVD BLDG 11",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461126",
            "telephone_number": "702-433-3038"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6171 W Charleston Blvd Bldg 14",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891461126",
            "country_code": "US",
            "telephone_number": "702-433-3038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BAMBOO SUNRISE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-03",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "HOLDEMAN",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "702-433-3038"
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maria Anita Baluyut
• Myrna Baluyut
• Bam Healthcare Lvic LLC
• Mona Bambha, MD
• Lourdes Bambilla, RN
• Celeste Bame
• Lilian Enibokun Bamgbose, MSN, APRN, PMHNP-BC
• Oluwadamilola Bamiro
• Grace Bamishile
• Elisabeth Bamurange

• Psychiatric Residential Treatment Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Psychiatric Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; 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.