NPIMap

Organization Active NPI

LDS Family Services

Doing business as LDS Family Services NV Las Vegas Agency

  • Community/Behavioral Health Agency
  • North Las Vegas, NV
National Provider Identifier
1790990349
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
4096-C Issued in NV
Legal business name
LDS FAMILY SERVICES
Doing business as
LDS Family Services NV Las Vegas Agency
Practice address
4455 Allen LN
Suite 130
North Las Vegas, NV 89031-2229
Phone
(702) 385-1072
Fax
(702) 385-3053
NPI assigned
May 14, 2007
Last updated
Jun 6, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
LDS FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Authorized official

Name
Mr. Rick L Perry, LCSW
Title
Director
Phone
(702) 385-1072

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 4096-C NV Primary

Addresses

Primary practice location

4455 Allen LN
Suite 130
North Las Vegas, NV 89031-2229

Mailing address

4455 Allen LN
Suite 130
North Las Vegas, NV 89031-2229
Phone (702) 385-1072

Other names 1

  • LDS Family Services NV Las Vegas Agency Doing business as

National Provider Directory

National Provider Directory
Tax ID family
LDS Family Services46 organizations share this tax ID, including this one
Part of
LDS Family Services

Other organizations with this tax ID 45

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

View all 45

Locations

4455 Allen Ln
Ste 130
North Las Vegas, NV 89031
Phone (702) 385-1072

Practitioners & affiliated clinicians

Practitioners 17

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.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1212710400000",
    "number": "1790990349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4455 ALLEN LN",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312229",
            "telephone_number": "702-385-1072",
            "fax_number": "702-385-3053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4455 ALLEN LN",
            "address_2": "SUITE 130",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890312229",
            "telephone_number": "702-385-1072",
            "fax_number": "702-385-3053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LDS FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LDS FAMILY SERVICES",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-06-06",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "RICK",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-385-1072",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "4096-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LDS Family Services NV Las Vegas Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2008; 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.