Life Interrupted Treatment, LLC

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

NV20161278438 Issued in NV

Legal business name

LIFE INTERRUPTED TREATMENT, LLC

Practice address

1910 Ferrell St Apt 10
Las Vegas, NV 89106-1254

Phone

(678) 857-6879

NPI assigned

Aug 1, 2016

Organization subpart

No

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

Authorized official

Name

Ashley Nicole Cain

Title

Owner

Phone

(678) 857-6879

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1470009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1470268800000",
    "number": "1902359417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1910 FERRELL ST APT 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061254",
            "telephone_number": "678-857-6879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1910 FERRELL ST APT 10",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891061254",
            "telephone_number": "678-857-6879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE INTERRUPTED TREATMENT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-01",
        "last_updated": "2016-08-04",
        "status": "A",
        "authorized_official_last_name": "CAIN",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-857-6879"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "NV",
            "license": "NV20161278438",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "NV",
            "license": "2003291-048-122",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "NV",
            "license": "2105351319",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Life Gateway LLC
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• Life Health and Wellness Center LLC
• Life Launch Centers of Nevada
• Life Lessons Inc
• Life Point Senior Services LLC
• Life Science Health Center LLC
• Life Solutions

• Early Intervention Provider Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Early Intervention Provider Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.