Whole Hearted LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

WHOLE HEARTED LLC

Practice address

4012 Juanita May Ave
North Las Vegas, NV 89032-8949

Phone

(702) 563-7037

NPI assigned

Jun 21, 2021

Organization subpart

No

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

Authorized official

Name

Oliver MeeksNPI 1104494269

Title

Manager

Phone

(702) 563-7037

Specialties & licenses 2

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Oliver Meeks

  • Behavior Technician
  • North Las Vegas, NV
  • NPI 1104494269
  NPD Authorized official

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

{
    "created_epoch": "1624233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624233600000",
    "number": "1972172351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4012 JUANITA MAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328949",
            "telephone_number": "702-563-7037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4012 JUANITA MAY AVE",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890328949",
            "telephone_number": "702-563-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHOLE HEARTED LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "OLIVER",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-563-7037"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina White
• Travis Michael White, LAT, ATC
• Leo Whitehead
• Deshonda Yvette Whiteside
• Latosha Faye Whiteside
• Yudi Wibisono, DO
• Wicker Basket LLC
• Lina Maria Wickert
• Richard James Wiest, PHARM.D
• Hiran Shawn Wijesinghe, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in North Las Vegas, NV
• Providers in North Las Vegas, NV by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Nevada

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

Verify at the official NPI Registry.