Mojave Mental Health

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

RN67139 Issued in NV

Legal business name

MOJAVE MENTAL HEALTH

Practice address

4000 E Charleston Blvd
Ste 230
Las Vegas, NV 89104-6659

Phone

(702) 555-1212

NPI assigned

Jan 25, 2011

Organization subpart

No

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

Authorized official

Name

Lashare Edwards, REGISTERED NURSE

Title

RN

Phone

(310) 555-1212

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1295913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295913600000",
    "number": "1831494673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 E CHARLESTON BLVD",
            "address_2": "HM # 617",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046659",
            "telephone_number": "702-555-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 E CHARLESTON BLVD",
            "address_2": "STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891046659",
            "telephone_number": "702-555-1212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOJAVE MENTAL HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-25",
        "last_updated": "2011-01-25",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "LASHARE",
        "authorized_official_title_or_position": "RN",
        "authorized_official_telephone_number": "310-555-1212",
        "authorized_official_credential": "REGISTERED NURSE"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NV",
            "license": "RN67139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mojave Adult, Child & Family Services
• Mojave Behavioral Health, LLC
• Mojave Healthcare PLLC
• Mojave Home Healthcare LLC
• Mojave Hospice LLC
• Velsabet Mojica Cisneros
• Erika Marlene Mojica, RBT
• Remedios Mojica
• Mojtabavi Medical Services PLLC / Neo Wound Care
• Reza Mojtabavi, MD

• Nursing Facility/Intermediate Care Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Nursing Facility/Intermediate Care Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2011; 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.