Organization Active NPI

Renewed Mind Behavioral Health Services

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
National Provider Identifier
1932573193
Registry record updated Nov 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
RENEWED MIND BEHAVIORAL HEALTH SERVICES
Practice address
117 Rosa Rosales CT
N Las Vegas, NV 89031-2593
Phone
(702) 772-3663
NPI assigned
Nov 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2015

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

Authorized official

Name
Favor Chikelu
Title
Director
Phone
(702) 772-3663

Specialties & licenses 1

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

Addresses

Primary practice location

117 Rosa Rosales CT
N Las Vegas, NV 89031-2593

Mailing address

117 Rosa Rosales CT
N Las Vegas, NV 89031
Phone (702) 772-3663

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1448409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1448409600000",
    "number": "1932573193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 ROSA ROSALES CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89031",
            "telephone_number": "702-772-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 ROSA ROSALES CT",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890312593",
            "telephone_number": "702-772-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND BEHAVIORAL HEALTH SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-25",
        "last_updated": "2015-11-25",
        "status": "A",
        "authorized_official_last_name": "CHIKELU",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-772-3663"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2015; 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.