NPIMap

Organization Active NPI

Forward Impressions, LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1922593797
Registry record updated Jul 15, 2020
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Mar 20, 2025.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20181454330 Issued in NV
Legal business name
FORWARD IMPRESSIONS, LLC
Practice address
3650 N Rancho Dr Ste 109
Las Vegas, NV 89130-3151
Phone
(702) 848-1411
Fax
(702) 848-1413
NPI assigned
Jun 25, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2020

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

Authorized official

Name
Charlene DavisNPI 1023519709
Title
Owner
Phone
(702) 848-1411

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 NV20181454330 NV Primary

Addresses

Primary practice location

3650 N Rancho Dr Ste 109
Las Vegas, NV 89130-3151

Mailing address

3650 N Rancho Dr Ste 109
Las Vegas, NV 89130-3151
Phone (702) 848-1411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

3650 N Rancho Dr
Ste 109
Las Vegas, NV 89130
Phone (702) 413-6008

3650 N Rancho Dr
Las Vegas, NV 89130
Phone (702) 740-5683

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 6

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": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594771200000",
    "number": "1922593797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-848-1411",
            "fax_number": "702-848-1413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3650 N RANCHO DR STE 109",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891303151",
            "telephone_number": "702-848-1411",
            "fax_number": "702-848-1413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD IMPRESSIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2020-07-15",
        "certification_date": "2020-07-15",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-848-1411"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20181454330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.