Organization Active NPI

Henderson Speech Hearing and Language Center LLC

  • Speech-Language Pathologist
  • Las Vegas, NV
National Provider Identifier
1891869897
Registry record updated Mar 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
HENDERSON SPEECH HEARING AND LANGUAGE CENTER LLC
Practice address
331 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0300
Phone
(702) 733-8255
Fax
(702) 737-8255
NPI assigned
Nov 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2012

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

Authorized official

Name
Mr. Stephen J Mandel, MBA
Title
Cfo
Phone
(702) 733-8255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193400000X SINGLE SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

331 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0300

Mailing address

331 N Buffalo Dr
Suite B
Las Vegas, NV 89145-0300
Phone (702) 733-8255

Other identifiers 1

IdentifierTypeStateIssuer
100507443MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Henderson Speech Hearing and Language Center LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

331 N Buffalo Dr
Ste B
Las Vegas, NV 89145
Phone (702) 877-2520

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332288000000",
    "number": "1891869897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 N BUFFALO DR",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450300",
            "telephone_number": "702-733-8255",
            "fax_number": "702-737-8255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 N BUFFALO DR",
            "address_2": "SUITE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891450300",
            "telephone_number": "702-733-8255",
            "fax_number": "702-737-8255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENDERSON SPEECH HEARING AND LANGUAGE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2012-03-21",
        "status": "A",
        "authorized_official_last_name": "MANDEL",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "702-733-8255",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507443",
            "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 Mar 21, 2012; 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.