NPIMap

Organization Active NPI

Temporary Assistance for Domestic Crisis

  • Marriage & Family Therapist
  • Las Vegas, NV
National Provider Identifier
1790090181
Registry record updated May 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
0271 Issued in NV
Legal business name
TEMPORARY ASSISTANCE FOR DOMESTIC CRISIS
Doing business as
SafeNest
Practice address
3900 Meadows LN
Las Vegas, NV 89107-3123
Phone
(702) 877-0133
Fax
(721) 821-2772
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 29, 2019

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

Authorized official

Name
Eric Rust
Title
Office Manager / HR
Phone
(702) 821-2722

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 0271 NV Primary

Addresses

Primary practice location

3900 Meadows LN
Las Vegas, NV 89107-3123

Mailing address

3900 Meadows LN
Las Vegas, NV 89107-3123
Phone (702) 877-0133

Other names 1

  • SafeNest Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Safe Nest Temporary Assistance for Domestic Crisis2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 4

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": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559088000000",
    "number": "1790090181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073123",
            "telephone_number": "702-877-0133",
            "fax_number": "702-877-2772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3900 MEADOWS LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073123",
            "telephone_number": "702-877-0133",
            "fax_number": "721-821-2772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPORARY ASSISTANCE FOR DOMESTIC CRISIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2019-05-29",
        "status": "A",
        "authorized_official_last_name": "RUST",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "OFFICE MANAGER / HR",
        "authorized_official_telephone_number": "702-821-2722"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "NV",
            "license": "0271",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SafeNest",
            "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 May 29, 2019; 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.