Organization Active NPI

Uplifting Lives

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1902240443
Registry record updated Apr 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20131182170 Issued in NV
Legal business name
UPLIFTING LIVES
Practice address
4760 S Pecos Rd
222
Las Vegas, NV 89121-5828
Phone
(702) 281-3496
NPI assigned
Apr 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2013

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

Authorized official

Name
Ellen TinneyNPI 1598062325
Title
Owner/Direct Supervisor
Phone
(702) 994-1949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20131182170 NV Primary

Addresses

Primary practice location

4760 S Pecos Rd
222
Las Vegas, NV 89121-5828

Mailing address

4760 S Pecos Rd
222
Las Vegas, NV 89121-5828
Phone (702) 281-3496

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240403003387 NV Part B Supplier - Clinic/Group Practice 6709224157 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

National Provider Directory

National Provider Directory

Locations

4760 S Pecos Rd
#222
Las Vegas, NV 89121
Phone (702) 281-3496

3650 N Rancho Dr
Ste 104
Las Vegas, NV 89130
Phone (702) 595-1863

Practitioners & affiliated clinicians

Practitioners 2

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": "1366934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366934400000",
    "number": "1902240443",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD",
            "address_2": "222",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-281-3496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4760 S PECOS RD",
            "address_2": "222",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215828",
            "telephone_number": "702-281-3496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPLIFTING LIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-26",
        "last_updated": "2013-04-26",
        "status": "A",
        "authorized_official_last_name": "TINNEY",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "OWNER/DIRECT SUPERVISOR",
        "authorized_official_telephone_number": "702-994-1949"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20131182170",
            "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 Apr 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.