Organization Active NPI

Easy Living Behavioral Health LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Las Vegas, NV
National Provider Identifier
1780100511
Registry record updated Aug 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
EASY LIVING BEHAVIORAL HEALTH LLC
Practice address
5069 Sun Valley Dr
Las Vegas, NV 89122
Phone
(702) 826-6237
NPI assigned
Aug 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2017

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

Authorized official

Name
Felesia Tejero
Title
Owner
Phone
(702) 826-6237

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

5069 Sun Valley Dr
Las Vegas, NV 89122

Mailing address

5069 Sun Valley Dr
Las Vegas, NV 89122-6656

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1502668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502668800000",
    "number": "1780100511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5069 SUN VALLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891226656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5069 SUN VALLEY DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89122",
            "telephone_number": "702-826-6237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASY LIVING BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-14",
        "last_updated": "2017-08-14",
        "status": "A",
        "authorized_official_last_name": "TEJERO",
        "authorized_official_first_name": "FELESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-826-6237"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Aug 14, 2017; 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.