Active NPI
Royal Outreach Behavioral Rehabilitation Center LLC
- Community/Behavioral Health Agency
- Las Vegas, NV
National Provider Identifier
1942790712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- NV20181251049
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Las Vegas, NV
- NPI 1619546520
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.