CGL Group Corp

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

CGL GROUP CORP

Practice address

1900 Eliminator Dr
Las Vegas, NV 89146-1136

Phone

(702) 823-3553

Fax

(702) 823-3553

NPI assigned

Dec 16, 2011

Organization subpart

No

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

Authorized official

Name

Mr. Christian Castaneda

Title

President

Phone

(917) 496-8000

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1323993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1902175144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ELIMINATOR DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461136",
            "telephone_number": "702-823-3553",
            "fax_number": "702-823-3553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ELIMINATOR DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891461136",
            "telephone_number": "702-823-3553",
            "fax_number": "702-823-3553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CGL GROUP CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-16",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "CASTANEDA",
        "authorized_official_first_name": "CHRISTIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-496-8000",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Jennifer Cha, DMD, MS
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• Assisted Living Facility (Mental Illness) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Assisted Living Facility (Mental Illness) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.