NPIMap

Organization Active NPI

Mission Treatment Centers

  • Community/Behavioral Health Agency
  • Las Vegas, NV
National Provider Identifier
1962829945
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
NV20071612296 Issued in NV
Legal business name
MISSION TREATMENT CENTERS
Practice address
2887 S Maryland Pkwy
Las Vegas, NV 89109-1511
Phone
(702) 474-4104
Fax
(702) 474-4108
NPI assigned
Mar 27, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Authorized official

Name
Marc Lewison
Title
Owner/President
Phone
(619) 818-8106

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NV20071612296 NV Primary

Addresses

Primary practice location

2887 S Maryland Pkwy
Las Vegas, NV 89109-1511

Mailing address

7371 Prairie Falcon Rd Ste 110
Las Vegas, NV 89128-0834
Phone (619) 818-8106

Other identifiers 1

IdentifierTypeStateIssuer
1326354697MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Mission Treatment Centers12 organizations share this tax ID, including this one

Other organizations with this tax ID 11

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548633600000",
    "number": "1962829945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7371 PRAIRIE FALCON RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280834",
            "telephone_number": "619-818-8106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2887 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091511",
            "telephone_number": "702-474-4104",
            "fax_number": "702-474-4108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSION TREATMENT CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2019-01-28",
        "status": "A",
        "authorized_official_last_name": "LEWISON",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "619-818-8106"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NV",
            "license": "NV20071612296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1326354697",
            "state": "NV"
        }
    ],
    "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 Jan 28, 2019; 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.