EBONNY BEHAVIORAL CARE SERVICES CORPORATION
NPI 1467801134
Clinic/Center - Primary Care in Las Vegas, NV
About Ebonny Behavioral Care Services Corporation NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EBONNY BEHAVIORAL CARE SERVICES CORPORATION (NPI 1467801134) is a healthcare organization registered as a primary care in Las Vegas, Nevada and active in the NPI registry since June 2016. The organization lists Festus Ebonka, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 5
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Ebonny Behavioral Care Services Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Ebonny Behavioral Care Services Corporation, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ebonny Behavioral Care Services Corporation's NPI number?
The NPI number for Ebonny Behavioral Care Services Corporation is 1467801134. It was assigned to this organization in the NPPES registry on June 3, 2016.
Where is Ebonny Behavioral Care Services Corporation located?
Ebonny Behavioral Care Services Corporation is located at 1721 E Charleston Blvd Ste 300, Las Vegas, NV 89104. The listed phone number is (026) 850-6207.
What is Ebonny Behavioral Care Services Corporation's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Is Ebonny Behavioral Care Services Corporation enrolled in Medicare?
Yes. Ebonny Behavioral Care Services Corporation is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Ebonny Behavioral Care Services Corporation?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Ebonny Behavioral Care Services Corporation, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Ebonny Behavioral Care Services Corporation accept?
Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Ebonny Behavioral Care Services Corporation as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Ebonny Behavioral Care Services Corporation was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Ebonny Behavioral Care Services Corporation · NPI 1467801134
Primary Care organization in Las Vegas, Nevada. Organization record, active in the CMS NPPES registry since June 3, 2016.
## Identity
- **NPI:** 1467801134 (Entity type: Organization)
- **Enumerated:** June 3, 2016
- **Primary specialty:** Clinic/Center - Primary Care · taxonomy 261QP2300X
- **Organization subpart:** No
- **Authorized official:** Festus Ebonka, PRESIDENT
## Practice location
- **Address:** 1721 E CHARLESTON BLVD STE 300, Las Vegas, NV 89104-1902
- **Phone:** (026) 850-6207 · **Fax:** (702) 685-9674
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (1), Nurse Practitioner (1); 2 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1467801134) · Data from the CMS NPPES public registry.