Active NPI
Choice Health Palace LLC
- Primary Care Clinic/Center
- Las Vegas, NV
National Provider Identifier
1962079301
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Clinic/Center
- Legal business name
- CHOICE HEALTH PALACE LLC
- Practice address
- 2750 S Rancho Dr
Las Vegas, NV 89102-6400 - Phone
- (702) 463-9066
- Fax
- (702) 463-9067
- NPI assigned
- Jun 4, 2021
- 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
- Mrs. Letaniya Warren
- Title
- Owner
- Phone
- (702) 686-0600
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | |||
| Pediatrics Physician | 208000000X | |||
| Health Service Clinic/Center | 261QH0100X | |||
| Primary Care Clinic/Center | 261QP2300X | Primary | ||
| Urgent Care Clinic/Center | 261QU0200X |
Addresses
Primary practice location
2750 S Rancho Dr
Las Vegas, NV 89102-6400
Mailing address
631 N Stephanie St # 260
Henderson, NV 89014-2633
Phone (702) 250-9200
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | info@choicefmc.com | Direct |
National Provider Directory
National Provider DirectoryLocations
2750 S Rancho Dr
Las Vegas, NV 89102
Phone (702) 463-9066
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1622764800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1626825600000",
"number": "1962079301",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "631 N STEPHANIE ST # 260",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890142633",
"telephone_number": "702-250-9200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2750 S RANCHO DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891026400",
"telephone_number": "702-463-9066",
"fax_number": "702-463-9067"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHOICE HEALTH PALACE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-04",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A",
"authorized_official_last_name": "WARREN",
"authorized_official_first_name": "LETANIYA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "702-686-0600",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Primary Care",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "OTHERS",
"endpointTypeDescription": "Other URL",
"endpoint": "info@choicefmc.com",
"affiliation": "N",
"endpointDescription": "Company email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2750 S Rancho Dr",
"city": "Las Vegas",
"state": "NV",
"country_code": "US",
"postal_code": "891026400",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 21, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.