SUPER LIFE CODES FOUNDATION


Address: 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781
Phone: 7029818456

SUPER LIFE CODES FOUNDATION (NPI# 1306450978) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1306450978
Entity Type Organization
Organization Name SUPER LIFE CODES FOUNDATION
Practice Address 4276 Spring Mountain Rd Unit 214
Las Vegas
NV 89102-8781
Practice Telephone 7029818456
Mailing Telephone 7029818456
Enumeration Date 2020-09-01
Last Update Date 2020-09-01
Authorized Official Name RYAN TSUI (EXECUTIVE DIRECTOR)
Authorized Official Telephone 6267159088
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
Ambulatory Health Care Facilities

Office Location

Street Address 4276 SPRING MOUNTAIN RD UNIT 214
City LAS VEGAS
State NV
Zip Code 89102-8781

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NPI Name Taxonomy Address Enumeration
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1447893185 Maria Josefina Castaneda Technician 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 2019-10-25
1427608777 Virginia Hernandez Tolentino Technician 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 2019-09-18
1972153872 Gladiola Cardoza Quinones Technician 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 2019-09-13
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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1841818457 Wellness Foundation Clinic/Center 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 2020-07-09
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Competitor

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City LAS VEGAS
Zip Code 89102

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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