Organization Active NPI

Grip Family Services LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1871091959
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20171544329 Issued in NV
Legal business name
GRIP FAMILY SERVICES LLC
Practice address
6330 McLeod Dr Ste 3
Las Vegas, NV 89120-4431
Phone
(702) 754-3484
Fax
(702) 629-7952
NPI assigned
Jan 24, 2018
Last updated
Jun 16, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Sharonda ConwayNPI 1962875971
Title
Managing Member
Phone
(702) 824-3629

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20171544329 NV Primary

Addresses

Primary practice location

6330 McLeod Dr Ste 3
Las Vegas, NV 89120-4431

Mailing address

6330 McLeod Dr Ste 3
Las Vegas, NV 89120-4431
Phone (702) 824-3629

Other identifiers 1

IdentifierTypeStateIssuer
NV20171544329MedicaidNV

National Provider Directory

National Provider Directory

Locations

6330 McLeod Dr
Ste 3
Las Vegas, NV 89120
Phone (702) 487-5480

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": "1516752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1871091959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6330 MCLEOD DR STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204431",
            "telephone_number": "702-824-3629",
            "fax_number": "702-629-7952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6330 MCLEOD DR STE 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891204431",
            "telephone_number": "702-754-3484",
            "fax_number": "702-629-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRIP FAMILY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-24",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "CONWAY",
        "authorized_official_first_name": "SHARONDA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-824-3629"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20171544329",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20171544329",
            "state": "NV"
        }
    ],
    "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 16, 2018; 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.