Healthcare Provider Details

I. General information

NPI: 1801319637
Provider Name (Legal Business Name): LAS VEGAS CHIPS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2017
Last Update Date: 09/12/2025
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3690 S EASTERN AVE FL 2
LAS VEGAS NV
89169-3300
US

IV. Provider business mailing address

201 LAS VEGAS BLVD S # 1533
LAS VEGAS NV
89101-5780
US

V. Phone/Fax

Practice location:
  • Phone: 702-560-6584
  • Fax: 844-582-4477
Mailing address:
  • Phone: 702-560-6581
  • Fax: 844-582-4477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251V00000X
TaxonomyVoluntary or Charitable Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. ALEXANDRIA E BROWN
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 702-560-6581