Organization Active NPI

Royal Outreach Behavioral Rehabilitation Center LLC

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1942790712
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20181251049 Issued in NV
Legal business name
ROYAL OUTREACH BEHAVIORAL REHABILITATION CENTER LLC
Practice address
4640 W Charleston Blvd
Las Vegas, NV 89102-1503
Phone
(702) 219-5283
NPI assigned
May 16, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Authorized official

Name
Dr. Prince Igboamazu, PHD
Title
Manager
Phone
(702) 219-5283

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20181251049 NV Primary

Addresses

Primary practice location

4640 W Charleston Blvd
Las Vegas, NV 89102-1503

Mailing address

2112 Interbay St
Las Vegas, NV 89128-6502
Phone (702) 219-5283

Other names 1

  • Alpha Mental Health Doing business as

National Provider Directory

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.

NPI Registry JSON

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

{
    "created_epoch": "1526428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1942790712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2112 INTERBAY ST",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891286502",
            "telephone_number": "702-219-5283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021503",
            "telephone_number": "702-219-5283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL OUTREACH BEHAVIORAL REHABILITATION CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-16",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "IGBOAMAZU",
        "authorized_official_first_name": "PRINCE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-219-5283",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20181251049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpha Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 23, 2026; 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.