NPIMap

Organization Active NPI

Nevada Integrated Behavioral Services Inc.

Doing business as nevada care center

  • Psychiatric Hospital
  • Las Vegas, NV
National Provider Identifier
1952852097
Registry record updated Oct 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
NEVADA INTEGRATED BEHAVIORAL SERVICES INC.
Doing business as
nevada care center
Practice address
1721 E Charleston Blvd
1721
Las Vegas, NV 89104-1902
Phone
(702) 515-9680
NPI assigned
Oct 24, 2016
Last updated
Oct 24, 2016By the provider in NPPES
Organization subpart
Yes
Parent organization
NEVADA CARE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 24, 2016

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

Authorized official

Name
Festus EbonkaNPI 1932241007
Title
Owner
Phone
(702) 515-9680

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X NU Primary
Community/Behavioral Health Agency 251S00000X NU

Addresses

Primary practice location

1721 E Charleston Blvd
1721
Las Vegas, NV 89104-1902

Mailing address

1721 E Charleston Blvd
1721
Las Vegas, NV 89104-1902
Phone (702) 515-9680

Other names 1

  • nevada care center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada Integrated Behavioral Services Inc3 organizations share this tax ID, including this one
Part of
Nevada Integrated Behavioral Services Inc

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the 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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1952852097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1721 E CHARLESTON BLVD",
            "address_2": "1721",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041902",
            "telephone_number": "702-515-9680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 E CHARLESTON BLVD",
            "address_2": "1721",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891041902",
            "telephone_number": "702-515-9680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA INTEGRATED BEHAVIORAL SERVICES INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NEVADA CARE CENTER",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "EBONKA",
        "authorized_official_first_name": "FESTUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-515-9680"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "nevada care center",
            "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 Oct 24, 2016; 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.