K F E Empire Support Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

K F E EMPIRE SUPPORT SERVICES

Practice address

2580 N Rancho
Ste 104 a
N Las Vegas, NV 89032-8903

Phone

(480) 795-0209

NPI assigned

Mar 23, 2020

Last updated

Mar 23, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Adrian King II, QMHANPI 1821625708

Title

Managing Member

Phone

(480) 795-0209

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Adrian King

  • Behavior Analyst
  • N Las Vegas, NV
  • NPI 1821625708
  NPD Authorized official

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

{
    "created_epoch": "1584921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1584921600000",
    "number": "1932736824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO STE 104 A",
            "address_2": "2580 N RANCHO",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "89032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2580 N RANCHO",
            "address_2": "STE 104 A",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890328903",
            "telephone_number": "480-795-0209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "K F E EMPIRE SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-23",
        "last_updated": "2020-03-23",
        "certification_date": "2020-03-23",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ADRIAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "480-795-0209",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "QMHA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NV20201745271",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Madeline Kelley
• Rhonda Denise Kelly
• Doris Ann Kennedy, M.ED

• Community/Behavioral Health Agency in N Las Vegas, NV
• Providers in N Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2020; 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.