NEVADA CENTER OF HEALTHY LIVING NPI 1588215065

Clinic/Center (Mental Health (Including Community Mental Health Center)) in Las Vegas, NV

Organization Clinic/Center Mental Health (Including Community Menta...

About NEVADA CENTER OF HEALTHY LIVING

Nevada Center Of Healthy Living is a provider established in Las Vegas, Nevada specializing in clinic/center. The NPI number of Nevada Center Of Healthy Living is 1588215065 and was assigned on September 2019. The practitioner's primary taxonomy code is 261QM0801X. The provider is registered as an organization and their NPI record was last updated September 2019. The authorized official of this NPI record is Ms. Lacole James Msw (Director)

NPI

1588215065

Provider NameNEVADA CENTER OF HEALTHY LIVING
Provider Location Address4535 W RUSSELL RD STE 13 LAS VEGAS, NV 89118
Provider Mailing Address4535 W RUSSELL RD STE 13 LAS VEGAS, NV 89118
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date09-25-2019
Last Update Date09-25-2019

Primary Taxonomy

Taxonomy Code261QM0801X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationMental Health (Including Community Mental Health Center)

Business Address

NEVADA CENTER OF HEALTHY LIVING
4535 W RUSSELL RD STE 13
LAS VEGAS, NV
ZIP 89118
Phone: (702) 381-0962

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Mailing Address

NEVADA CENTER OF HEALTHY LIVING
4535 W RUSSELL RD STE 13
LAS VEGAS, NV
ZIP 89118
Phone: (702) 381-0962

Authorized Official

Authorized Official NameMS. LACOLE JAMES MSW
Authorized Official TitleDIRECTOR
Authorized Official Phone(702) 234-9339

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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