Organization Active NPI

Taking a.C.T.I.O.N. ( a Commitment to Impact Our Neighborhoods) LLC

Doing business as Taking a.C.T.I.O.N. LLC

  • Mental Illness Community Based Residential Treatment Facility
  • North Las Vegas, NV
National Provider Identifier
1841778990
Registry record updated Jul 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
TAKING A.C.T.I.O.N. ( A COMMITMENT TO IMPACT OUR NEIGHBORHOODS) LLC
Doing business as
Taking a.C.T.I.O.N. LLC
Practice address
4780 W Ann Rd
Ste 5-282
North Las Vegas, NV 89031-3470
Phone
(702) 818-9305
NPI assigned
Jul 31, 2018
Organization subpart
Yes
Parent organization
TAKING A.C.T.I.O.N. LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 20, 2023

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

Authorized official

Name
Breauna C Nieves
Title
Chief Executive Officer (Ceo)
Phone
(702) 591-1231

Specialties & licenses 14

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Poetry TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 102X00000X
ContractorGroup: 193200000X MULTI-SPECIALTY GROUP 171W00000X
Case Management Agency 251B00000X
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
Developmental Disabilities Clinic/Center 261QD1600X
Mental Illness Community Based Residential Treatment Facility 320800000X Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility 320900000X
Non-emergency Medical Transport (VAN) 343900000X
Respite Care 385H00000X
Child Mental Illness Respite Care 385HR2055X
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X
Child Physical Disabilities Respite Care 385HR2065X

Addresses

Primary practice location

4780 W Ann Rd
Ste 5-282
North Las Vegas, NV 89031-3470

Mailing address

4780 W Ann Rd
Ste 5-282
North Las Vegas, NV 89031-3470
Phone (702) 818-9305

Other names 1

  • TAKING A.C.T.I.O.N. LLC Doing business as

National Provider Directory

National Provider Directory
Part of
Taking Action a Commitment to Impact Our Neighborhoods LLC

Locations

4780 W Ann Rd
Ste 5282
North Las Vegas, NV 89031
Phone (702) 818-9305

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": "1532995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1689811200000",
    "number": "1841778990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 W ANN RD",
            "address_2": "STE 5-282",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313470",
            "telephone_number": "702-818-9305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 W ANN RD",
            "address_2": "STE 5-282",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890313470",
            "telephone_number": "702-818-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAKING A.C.T.I.O.N. ( A COMMITMENT TO IMPACT OUR NEIGHBORHOODS) LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAKING A.C.T.I.O.N. LLC",
        "enumeration_date": "2018-07-31",
        "last_updated": "2023-07-20",
        "certification_date": "2023-07-20",
        "status": "A",
        "authorized_official_last_name": "NIEVES",
        "authorized_official_first_name": "BREAUNA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER (CEO)",
        "authorized_official_telephone_number": "702-591-1231"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "102X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Poetry Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171W00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Contractor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2055X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Mental Illness, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TAKING A.C.T.I.O.N. LLC",
            "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 Jul 20, 2023; 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.