Transformation 180

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

TRANSFORMATION 180

Practice address

1555 E Flamingo Rd
155
Las Vegas, NV 89119-5258

Phone

(702) 743-1999

NPI assigned

Oct 11, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Alice Delia Henry

Title

Owner

Phone

(562) 507-2966

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1381449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381449600000",
    "number": "1972930709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6500 W CHARLESTON BLVD",
            "address_2": "421",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891469054",
            "telephone_number": "702-776-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1555 E FLAMINGO RD",
            "address_2": "155",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195258",
            "telephone_number": "702-743-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATION 180",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-11",
        "last_updated": "2013-10-11",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "ALICE",
        "authorized_official_middle_name": "DELIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-507-2966",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trans Atlantic Capital Group Inc
• Trans-Vision, PC
• Transcend LLC
• Transcend Through Truth
• Transend LLC
• Transformation 360 LLC
• Transformation360
• Transformation360 LLC
• Transformations & Life Consultations, LLC
• Transformations Care LLC

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2013; 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.