NPIMap

Organization Active NPI

Freedom House Sober Living Inc

  • Substance Abuse Rehabilitation Facility
  • Las Vegas, NV
National Provider Identifier
1932511698
Registry record updated May 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
324500000X Issued in NV
Legal business name
FREEDOM HOUSE SOBER LIVING INC
Practice address
3852 Palos Verdes St
Suite 40
Las Vegas, NV 89119-6909
Phone
(702) 485-1300
Fax
(702) 485-1210
NPI assigned
May 28, 2014
Last updated
May 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2014

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

Authorized official

Name
Mr. Jeffrey Brian Iverson
Title
Ceo
Phone
(702) 279-1298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 324500000X NV Primary

Addresses

Primary practice location

3852 Palos Verdes St
Suite 40
Las Vegas, NV 89119-6909

Mailing address

3852 Palos Verdes St
Suite 40
Las Vegas, NV 89119-6909
Phone (702) 485-1300

National Provider Directory

National Provider Directory
Tax ID family
Freedom Behavioral Health2 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.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1401235200000",
    "number": "1932511698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3852 PALOS VERDES ST",
            "address_2": "SUITE 40",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196909",
            "telephone_number": "702-485-1300",
            "fax_number": "702-485-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3852 PALOS VERDES ST",
            "address_2": "SUITE 40",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196909",
            "telephone_number": "702-485-1300",
            "fax_number": "702-485-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FREEDOM HOUSE SOBER LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A",
        "authorized_official_last_name": "IVERSON",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-279-1298",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "NV",
            "license": "324500000X",
            "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 May 28, 2014; 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.