NPIMap

Organization Active NPI

Eisteam Community Wellness Centers-LLC

  • Community/Behavioral Health Agency
  • N Las Vegas, NV
National Provider Identifier
1942554860
Registry record updated Oct 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
EISTEAM COMMUNITY WELLNESS CENTERS-LLC
Practice address
1206 Cobblestone Cove Rd
N Las Vegas, NV 89081-3075
Phone
(702) 275-9838
NPI assigned
Oct 30, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2012

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

Authorized official

Name
Mrs. Sheila D. Marcus
Title
Director of Quality Assurance
Phone
(702) 275-9838

Specialties & licenses 1

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

Addresses

Primary practice location

1206 Cobblestone Cove Rd
N Las Vegas, NV 89081-3075

Mailing address

1206 Cobblestone Cove Rd
North Las Vegas, NV 89081-3075
Phone (702) 275-9838

National Provider Directory

National Provider Directory
Tax ID family
Eisteam Community Wellness Centers-LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351555200000",
    "number": "1942554860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1206 COBBLESTONE COVE RD",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890813075",
            "telephone_number": "702-275-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1206 COBBLESTONE COVE RD",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890813075",
            "telephone_number": "702-275-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EISTEAM COMMUNITY WELLNESS CENTERS-LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-30",
        "last_updated": "2012-10-30",
        "status": "A",
        "authorized_official_last_name": "MARCUS",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "DIRECTOR OF QUALITY ASSURANCE",
        "authorized_official_telephone_number": "702-275-9838",
        "authorized_official_name_prefix": "Mrs."
    },
    "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 Oct 30, 2012; 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.