Pure Hearts Behavioral Healthcare

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PURE HEARTS BEHAVIORAL HEALTHCARE

Practice address

4325 W Rome Blvd
Unit 1184
North Las Vegas, NV 89084-5497

Phone

(702) 885-0827

Fax

(702) 405-9967

NPI assigned

Jan 26, 2014

Organization subpart

No

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

Authorized official

Name

Miki Lashawn Harrell

Title

Provider

Phone

(720) 885-0827

Specialties & licenses 3

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carl Crockham

  • Clinical Social Worker
  • North Las Vegas, NV
  • NPI 1174938518
  NPD (past)

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

{
    "created_epoch": "1390694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390694400000",
    "number": "1891118949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 W ROME BLVD",
            "address_2": "UNIT 1184",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845497",
            "telephone_number": "702-885-0827",
            "fax_number": "702-405-9967"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 W ROME BLVD",
            "address_2": "UNIT 1184",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890845497",
            "telephone_number": "702-885-0827",
            "fax_number": "702-405-9967"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PURE HEARTS BEHAVIORAL HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-26",
        "last_updated": "2014-01-26",
        "status": "A",
        "authorized_official_last_name": "HARRELL",
        "authorized_official_first_name": "MIKI",
        "authorized_official_middle_name": "LASHAWN",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "720-885-0827"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790106821",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Luisa Pulido Alvarez
• Adrianna Pulido I, B.A
• Michelle Zhu Pulido, MD
• Antanus Pullum
• Sherome Pullum
• Pure Hearts BHC
• Pure Life LLC
• Donna Pursley-Rodriguez
• Alyssa Puyot
• Araceli Pyper

• Community/Behavioral Health Agency in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.