Vencer Health

Primary specialty

Children's Substance Abuse Rehabilitation FacilityTaxonomy code 3245S0500X

License

NV20151295293 Issued in NV

Legal business name

VENCER HEALTH

Doing business as

Vencer Youth Services

Practice address

4955 S Durango Dr
#207
Las Vegas, NV 89113-0152

Phone

(702) 267-6277

NPI assigned

Oct 12, 2015

Organization subpart

No

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

Authorized official

Name

Mrs. Tracy A Davis

Title

Executive Director

Phone

(702) 267-6277

Specialties & licenses 3

Addresses

Other names 1

• Vencer Youth Services Doing business as

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

{
    "created_epoch": "1444608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444608000000",
    "number": "1952772345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR",
            "address_2": "#207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130152",
            "telephone_number": "702-267-6277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4955 S DURANGO DR",
            "address_2": "#207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891130152",
            "telephone_number": "702-267-6277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENCER HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-12",
        "last_updated": "2015-10-12",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "TRACY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-267-6277",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NV",
            "license": "NV20151295293",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NV",
            "license": "NV20151295293",
            "primary": false
        },
        {
            "code": "3245S0500X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children",
            "state": "NV",
            "license": "NV20151295293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vencer Youth Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lalitha Padmanabha Reddy Vemireddy, MD
• William Henry Vena, PT
• Kim R Venable
• Theodore Venable
• Nancy Venancio Ramirez
• Graciela Vences
• Andrea K Vendeiro, LCSW
• Gina Nicole Venditti, P.A.
• Irishanne G Venditto, FNP-C
• Cassidy Harris Vendramin, LMSW

• Children's Substance Abuse Rehabilitation Facility in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Children's Substance Abuse Rehabilitation Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2015; 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.