Organization Active NPI

Trisis Family Services LLC

  • Administrator Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1790406239
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Administrator Registered NurseTaxonomy code 163WA2000X
Legal business name
TRISIS FAMILY SERVICES LLC
Practice address
5401 Rusty Anchor CT
Las Vegas, NV 89130-1547
Phone
(702) 271-4291
NPI assigned
Sep 2, 2022
Organization subpart
Yes
Parent organization
TRISIS BEHAVIORAL HEALTH SOLUTIONS LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Authorized official

Name
Deborah Love
Title
Administrator
Phone
(702) 271-4291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Administrator Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WA2000X Primary

Addresses

Primary practice location

5401 Rusty Anchor CT
Las Vegas, NV 89130-1547

Mailing address

5401 Rusty Anchor CT
Las Vegas, NV 89130-1547
Phone (702) 271-4291

National Provider Directory

National Provider Directory
Part of
Trisis Family Services LLC

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662076800000",
    "number": "1790406239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5401 RUSTY ANCHOR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301547",
            "telephone_number": "702-271-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5401 RUSTY ANCHOR CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891301547",
            "telephone_number": "702-271-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRISIS FAMILY SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRISIS BEHAVIORAL HEALTH SOLUTIONS LLC",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-271-4291"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Administrator",
            "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 Sep 2, 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.