NPIMap

Organization Active NPI

Family Centers of Nevada LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1790322196
Registry record updated Jan 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY CENTERS OF NEVADA LLC
Practice address
222 S Rainbow Blvd Ste 212
Las Vegas, NV 89145-5356
Phone
(702) 277-5406
Fax
(702) 852-0607
NPI assigned
Dec 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2022

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

Authorized official

Name
Kiyonna ColeNPI 1073121455
Title
Owner / Ceo
Phone
(702) 277-5406

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

222 S Rainbow Blvd Ste 212
Las Vegas, NV 89145-5356

Mailing address

6545 S Fort Apache Rd Ste 135-133
Las Vegas, NV 89148-6752
Phone (702) 277-5406

Other identifiers 2

IdentifierTypeStateIssuer
1134463821MedicaidNV
1588105530MedicaidNV

National Provider Directory

National Provider Directory

Locations

222 S Rainbow Blvd
Ste 212
Las Vegas, NV 89145
Phone (702) 277-5406

6545 S Fort Apache Rd
Ste 135133
Las Vegas, NV 89148
Phone (702) 816-0606

6545 S Fort Apache Rd
Ste 133135
Las Vegas, NV 89148

301 Oxbow Ave
Ste 10
Pahrump, NV 89048
Phone (702) 816-0606

Practitioners & affiliated clinicians

Practitioners 11

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": "1575417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641945600000",
    "number": "1790322196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6545 S FORT APACHE RD STE 135-133",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891486752",
            "telephone_number": "702-277-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S RAINBOW BLVD STE 212",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891455356",
            "telephone_number": "702-277-5406",
            "fax_number": "702-852-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CENTERS OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-04",
        "last_updated": "2022-01-12",
        "certification_date": "2022-01-12",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "KIYONNA",
        "authorized_official_title_or_position": "OWNER / CEO",
        "authorized_official_telephone_number": "702-277-5406"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1134463821",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1588105530",
            "state": "NV"
        }
    ],
    "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 Jan 12, 2022; 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.