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PURE HEARTS BEHAVIORAL HEALTHCARE NPI 1891118949


NPI Information

NPI: 1891118949
Provider Name: PURE HEARTS BEHAVIORAL HEALTHCARE
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization
Address:
4325 W ROME BLVD
UNIT 1184
NORTH LAS VEGAS, NV
ZIP 89084
Phone: (702) 885-0827
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PURE HEARTS BEHAVIORAL HEALTHCARE is a community behavioral health in North Las Vegas, NV. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. PURE HEARTS BEHAVIORAL HEALTHCARE NPI is 1891118949. The provider is registered as an organization entity type.

The provider's business location address is:

4325 W ROME BLVD
UNIT 1184
NORTH LAS VEGAS, NV
ZIP 89084-497
Phone: (702) 885-0827
Fax: (702) 405-9967

The provider's authorized official is Miki Lashawn Harrell .
The authorized official title is Provider and has the following contact phone number (720) 885-0827.

The enumeration date for this NPI number is 1/26/2014 and was last updated on 1/26/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2347C00000XPrivate VehicleNo
3251S00000XCommunity/Behavioral HealthYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11790106821MEDICAIDNEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.