NPIMap

Organization Active NPI

Care Behavioral Clinic LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1881384204
Registry record updated May 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
CARE BEHAVIORAL CLINIC LLC
Practice address
4225 S Eastern Ave Ste 8
Las Vegas, NV 89119-5485
Phone
(725) 204-0953
NPI assigned
May 9, 2023
Last updated
May 9, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
CARE BEHAVIORAL CLINIC LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 9, 2023

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

Authorized official

Name
Rolly Taguinod QuilangNPI 1568060796
Title
Member
Phone
(858) 242-8703

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 Primary

Addresses

Primary practice location

4225 S Eastern Ave Ste 8
Las Vegas, NV 89119-5485

Mailing address

4225 S Eastern Ave Ste 8
Las Vegas, NV 89119-5485
Phone (725) 204-0953

Other names 1

  • Care Behavioral Clinic Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Care Behavioral Clinic LLC2 organizations share this tax ID, including this one
Part of
Care Behavioral Clinic LLC

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1683590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683590400000",
    "number": "1881384204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 S EASTERN AVE STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195485",
            "telephone_number": "725-204-0953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 S EASTERN AVE STE 8",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195485",
            "telephone_number": "725-204-0953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE BEHAVIORAL CLINIC LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARE BEHAVIORAL CLINIC  LLC",
        "enumeration_date": "2023-05-09",
        "last_updated": "2023-05-09",
        "certification_date": "2023-05-09",
        "status": "A",
        "authorized_official_last_name": "QUILANG",
        "authorized_official_first_name": "ROLLY",
        "authorized_official_middle_name": "TAGUINOD",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "858-242-8703"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Behavioral Clinic",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 May 9, 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.