Organization Active NPI

Wellness Center LLC

  • Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1952085219
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
WELLNESS CENTER LLC
Practice address
400 S 4TH St Ste 110
Las Vegas, NV 89101-6202
Phone
(702) 498-8771
NPI assigned
Jun 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Patrick Misherfi
Title
Owner
Phone
(702) 498-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

400 S 4TH St Ste 110
Las Vegas, NV 89101-6202

Mailing address

400 S 4TH St Ste 110
Las Vegas, NV 89101-6202
Phone (702) 498-8771

National Provider Directory

National Provider Directory

Locations

400 S 4th St
Ste 110
Las Vegas, NV 89101
Phone (702) 498-8771

3920 E Patrick Ln
#210
Las Vegas, NV 89120

NPI Registry JSON

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

{
    "created_epoch": "1686700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1952085219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016202",
            "telephone_number": "702-498-8771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 S 4TH ST STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891016202",
            "telephone_number": "702-498-8771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WELLNESS CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-14",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "MISHERFI",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-498-8771"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "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 May 9, 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.

Verify at the official NPI Registry.