Organization Active NPI

Rehab Alcohol Drug Detox, Inc.

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
National Provider Identifier
1831515212
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
REHAB ALCOHOL DRUG DETOX, INC.
Practice address
2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242
Phone
(702) 228-8520
Fax
(702) 448-7205
NPI assigned
Mar 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Authorized official

Name
David Marlon, MBA
Title
President
Phone
(702) 228-8520

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

2975 S Rainbow Blvd Ste E
Las Vegas, NV 89146-6242

Mailing address

9811 W Charleston Blvd # 2626
Las Vegas, NV 89117-7528
Phone (702) 228-8520

National Provider Directory

National Provider Directory

Locations

9811 W Charleston Blvd
#2626
Las Vegas, NV 89117

Practitioners & affiliated clinicians

Practitioners 1

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": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394409600000",
    "number": "1831515212",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9811 W CHARLESTON BLVD # 2626",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891177528",
            "telephone_number": "702-228-8520",
            "fax_number": "702-448-7205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2975 S RAINBOW BLVD STE E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466242",
            "telephone_number": "702-228-8520",
            "fax_number": "702-448-7205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REHAB ALCOHOL DRUG DETOX, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2014-03-10",
        "status": "A",
        "authorized_official_last_name": "MARLON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-228-8520",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "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 Mar 10, 2014; 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.