Organization Active NPI

Renewed Mind Adult Day Care Center

  • Adult Day Care Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1982115911
Registry record updated Oct 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
Legal business name
RENEWED MIND ADULT DAY CARE CENTER
Practice address
3211 N Tenaya Way Ste 110-112
Las Vegas, NV 89129-7439
Phone
(702) 772-3663
Fax
(702) 829-5426
NPI assigned
Oct 17, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2017

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

Authorized official

Name
Favor ChikeluNPI 1669814968
Title
Executive Director
Phone
(702) 772-3663

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X Primary

Addresses

Primary practice location

3211 N Tenaya Way Ste 110-112
Las Vegas, NV 89129-7439

Mailing address

1311 S Maryland Pkwy
Las Vegas, NV 89104-3309
Phone (702) 772-3663

National Provider Directory

National Provider Directory

Locations

3211 N Tenaya Way
Ste 110112
Las Vegas, NV 89129
Phone (702) 772-3663

1311 S Maryland Pkwy
Las Vegas, NV 89104
Phone (702) 328-3288

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1508198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508198400000",
    "number": "1982115911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 S MARYLAND PKWY",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043309",
            "telephone_number": "702-772-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3211 N TENAYA WAY STE 110-112",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891297439",
            "telephone_number": "702-772-3663",
            "fax_number": "702-829-5426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEWED MIND ADULT DAY CARE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-17",
        "last_updated": "2017-10-17",
        "status": "A",
        "authorized_official_last_name": "CHIKELU",
        "authorized_official_first_name": "FAVOR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "702-772-3663"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "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 Oct 17, 2017; 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.