Organization Active NPI

Wellharbor NV LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1891694436
Registry record updated Nov 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
WELLHARBOR NV LLC
Practice address
5258 S Eastern Ave Ste 151
Las Vegas, NV 89119-2330
Phone
(732) 860-8460
NPI assigned
Nov 2, 2026
Last updated
Nov 2, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2026

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

Authorized official

Name
Marc Shepard
Title
Director
Phone
(732) 860-8460

Specialties & licenses 1

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

Addresses

Primary practice location

5258 S Eastern Ave Ste 151
Las Vegas, NV 89119-2330

Mailing address

5258 S Eastern Ave Ste 151
Las Vegas, NV 89119-2330

NPI Registry JSON

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

{
    "created_epoch": "1793577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1793577600000",
    "number": "1891694436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5258 S EASTERN AVE STE 151",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5258 S EASTERN AVE STE 151",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192330",
            "telephone_number": "732-860-8460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLHARBOR NV LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-11-02",
        "last_updated": "2026-11-02",
        "certification_date": "2026-11-02",
        "status": "A",
        "authorized_official_last_name": "SHEPARD",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "732-860-8460"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "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 Nov 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.