Organization Active NPI

Grow Corporation

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1962964213
Registry record updated Aug 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
GROW CORPORATION
Practice address
517 S Tonopah Dr
Las Vegas, NV 89106-4047
Phone
(702) 852-3044
NPI assigned
Apr 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2019

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

Authorized official

Name
Janis Brooks
Title
Board Member
Phone
(702) 852-3044

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

517 S Tonopah Dr
Las Vegas, NV 89106-4047

Mailing address

517 S Tonopah Dr
Las Vegas, NV 89106-4047
Phone (702) 852-3044

National Provider Directory

National Provider Directory

Locations

517 S Tonopah Dr
Las Vegas, NV 89106
Phone (702) 852-3044

3040 W Cheyenne Ave
Ste 100
North Las Vegas, NV 89032

NPI Registry JSON

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

{
    "created_epoch": "1554336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565222400000",
    "number": "1962964213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064047",
            "telephone_number": "702-852-3044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 S TONOPAH DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064047",
            "telephone_number": "702-852-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-04",
        "last_updated": "2019-08-08",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "JANIS",
        "authorized_official_title_or_position": "BOARD MEMBER",
        "authorized_official_telephone_number": "702-852-3044"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "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 Aug 8, 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.