NPI Code Details Logo

NPI 1790419505

NPI 1790419505 : HEART AND MIND HEALTH PARTNERS LLC : LAS VEGAS, NV

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1790419505
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    HEART AND MIND HEALTH PARTNERS LLC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/16/2022
-----------------------------------------------------
    Last Update Date     |    07/14/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    1050 E FLAMINGO RD # 1939 
-----------------------------------------------------
    City                 |    LAS VEGAS
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89119-7427
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    775-419-3876
-----------------------------------------------------
    Fax                  |    702-442-0992
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    1050 E FLAMINGO RD # 1939 
-----------------------------------------------------
    City                 |    LAS VEGAS
-----------------------------------------------------
    State                |    NV
-----------------------------------------------------
    Zip                  |    89119-7427
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    775-419-3876
-----------------------------------------------------
    Fax                  |    702-442-0992
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    OWNER
-----------------------------------------------------
    Name                 |     EMEKA  MADU 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    702-376-3127
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    261QM0850X
-----------------------------------------------------
    Taxonomy Name        |    Adult Mental Health Clinic/Center
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    363L00000X
-----------------------------------------------------
    Taxonomy Name        |    Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    363LA2100X
-----------------------------------------------------
    Taxonomy Name        |    Acute Care Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #5
-----------------------------------------------------
    Taxonomy Code        |    363LF0000X
-----------------------------------------------------
    Taxonomy Name        |    Family Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #6
-----------------------------------------------------
    Taxonomy Code        |    363LP0808X
-----------------------------------------------------
    Taxonomy Name        |    Psychiatric/Mental Health Nurse Practitioner
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #7
-----------------------------------------------------
    Taxonomy Code        |    207Q00000X
-----------------------------------------------------
    Taxonomy Name        |    Family Medicine Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #8
-----------------------------------------------------
    Taxonomy Code        |    207RA0001X
-----------------------------------------------------
    Taxonomy Name        |    Advanced Heart Failure and Transplant Cardiology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #9
-----------------------------------------------------
    Taxonomy Code        |    207RI0011X
-----------------------------------------------------
    Taxonomy Name        |    Interventional Cardiology Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #10
-----------------------------------------------------
    Taxonomy Code        |    246W00000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiology Technician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #11
-----------------------------------------------------
    Taxonomy Code        |    246X00000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Specialist/Technologist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #12
-----------------------------------------------------
    Taxonomy Code        |    207RC0000X
-----------------------------------------------------
    Taxonomy Name        |    Cardiovascular Disease Physician
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.