Organization Active NPI

New Levels Community Development

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1780823930
Registry record updated Feb 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
C301272003 Issued in NV
Legal business name
NEW LEVELS COMMUNITY DEVELOPMENT
Practice address
3880 Leisure LN
Las Vegas, NV 89103-2337
Phone
(702) 510-2642
NPI assigned
Feb 11, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2009

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

Authorized official

Name
Mrs. Edith Monique Wynn
Title
Executive Director
Phone
(702) 510-2642

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X C301272003 NV Primary

Addresses

Primary practice location

3880 Leisure LN
Las Vegas, NV 89103-2337

Mailing address

PO Box 20074
Las Vegas, NV 89112-2074
Phone (702) 510-2642

Other names 1

  • New Levels Independence Program Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1234310400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234310400000",
    "number": "1780823930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20074",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891122074",
            "telephone_number": "702-510-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 LEISURE LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032337",
            "telephone_number": "702-510-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEW LEVELS COMMUNITY DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-11",
        "last_updated": "2009-02-11",
        "status": "A",
        "authorized_official_last_name": "WYNN",
        "authorized_official_first_name": "EDITH",
        "authorized_official_middle_name": "MONIQUE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-510-2642",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "C301272003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "New Levels Independence Program",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 11, 2009; 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.