Active NPI
Silver State Rehab & Wellness Center LLC
- Substance Use Disorder Rehabilitation Clinic/Center
- Las Vegas, NV
National Provider Identifier
1942051958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center
- Legal business name
- SILVER STATE REHAB & WELLNESS CENTER LLC
- Practice address
- 5229 Misty Morning Dr
Las Vegas, NV 89118-0601 - Phone
- (702) 550-2215
- NPI assigned
- Mar 28, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Armine Matinyan
- Title
- Owner
- Phone
- (702) 550-2215
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Comprehensive Outpatient Rehabilitation Facility (CORF) | 261QR0401X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Primary |
Addresses
Primary practice location
5229 Misty Morning Dr
Las Vegas, NV 89118-0601
Mailing address
5229 Misty Morning Dr
Las Vegas, NV 89118-0601
Phone (702) 550-2215
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1711584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1711584000000",
"number": "1942051958",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5229 MISTY MORNING DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891180601",
"telephone_number": "702-550-2215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5229 MISTY MORNING DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891180601",
"telephone_number": "702-550-2215"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SILVER STATE REHAB & WELLNESS CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-03-28",
"last_updated": "2024-03-28",
"certification_date": "2024-03-28",
"status": "A",
"authorized_official_last_name": "MATINYAN",
"authorized_official_first_name": "ARMINE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-550-2215"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0401X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"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 Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.