NPIMap

Organization Active NPI

Trailways, Inc

  • Clinical Social Worker
  • Las Vegas, NV
National Provider Identifier
1982975009
Registry record updated Jun 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5980-C Issued in NV
Legal business name
TRAILWAYS, INC
Practice address
5130 S Pecos Rd Ste 2B
Las Vegas, NV 89120-1248
Phone
(909) 576-2224
Fax
(888) 753-3302
NPI assigned
Jan 20, 2012
Last updated
Jun 20, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2018

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

Authorized official

Name
Mr. Charles Ellis, LCSWNPI 1215017009
Title
President
Phone
(909) 576-2224

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
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 5980-C NV Primary

Addresses

Primary practice location

5130 S Pecos Rd Ste 2B
Las Vegas, NV 89120-1248

Mailing address

5130 S Pecos Rd Ste 2B
Las Vegas, NV 89120-1248
Phone (909) 576-2224

National Provider Directory

National Provider Directory
Tax ID family
Trailways Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1327017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529452800000",
    "number": "1982975009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 2B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "909-576-2224",
            "fax_number": "888-753-3302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 S PECOS RD STE 2B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891201248",
            "telephone_number": "909-576-2224",
            "fax_number": "888-753-3302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRAILWAYS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-20",
        "last_updated": "2018-06-20",
        "status": "A",
        "authorized_official_last_name": "ELLIS",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-576-2224",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5980-C",
            "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 Jun 20, 2018; 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.