Organization Active NPI

Push Support Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1861155962
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
PUSH SUPPORT SERVICES LLC
Practice address
4160 S Pecos Rd Ste 18a
Las Vegas, NV 89121-5027
Phone
(702) 485-3925
NPI assigned
Oct 16, 2021
Last updated
Jun 15, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Marlin Harrington
Title
Owner
Phone
(909) 991-5571

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

4160 S Pecos Rd Ste 18a
Las Vegas, NV 89121-5027

Mailing address

4160 S Pecos Rd Ste 18a
Las Vegas, NV 89121-5027
Phone (702) 485-3925

Other practice location 1

4850 W Flamingo Rd Ste 27
Las Vegas, NV 89103-3707
Phone (909) 991-5571

National Provider Directory

National Provider Directory

Locations

4160 S Pecos Rd
Ste 18A
Las Vegas, NV 89121
Phone (702) 485-3925

4850 W Flamingo Rd
Ste 27
Las Vegas, NV 89103
Phone (909) 991-5571

NPI Registry JSON

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

{
    "created_epoch": "1634342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1861155962",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 18A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "702-485-3925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4160 S PECOS RD STE 18A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215027",
            "telephone_number": "702-485-3925"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 W Flamingo Rd Ste 27",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891033707",
            "country_code": "US",
            "telephone_number": "909-991-5571",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PUSH SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-16",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "HARRINGTON",
        "authorized_official_first_name": "MARLIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-991-5571"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "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 Jun 15, 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.