MEDICARE: PURE HEARTS BEHAVIORAL HEALTHCARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	320800000X	Mental Illness Community Based Residential Treatment Facility
2	347C00000X	Private Vehicle
3	251S00000X	Community/Behavioral Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1891118949
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PURE HEARTS BEHAVIORAL HEALTHCARE

Provider Business Mailing Address
First Line	:	4325 W ROME BLVD
Second Line	:	UNIT 1184
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5497
Country	:	US
Telephone Number	:	702-885-0827
Fax Number	:	702-405-9967

Provider Business Practice Location Address
First Line	:	4325 W ROME BLVD
Second Line	:	UNIT 1184
City	:	NORTH LAS VEGAS
State	:	NV
Zip	:	89084-5497
Country	:	US
Telephone Number	:	702-885-0827
Fax Number	:	702-405-9967

Authorized Official
Title or Position	:	PROVIDER
Name	:	MIKI LASHAWN HARRELL
Credential	:
Telephone Number	:	720-885-0827

Provider Enumeration Date	:	01/26/2014
Last Update Date	:	01/26/2014

Similar Medicare Providers

1548520653 — RHONDA O GILLETTE
Practice Location Address:

4325 W ROME BLVD , #3197
NORTH LAS VEGAS, NV
89084-5497

Practice Phone: 702-409-8155
Practice Fax:

1982900619 — CARNELL LEMONT STUCKEY
Practice Location Address:

4325 W ROME BLVD , 3181
N LAS VEGAS, NV
89084-5497

Practice Phone: 309-444-0063
Practice Fax:

1821095415 — PARAGON BILINGUAL THERAPY CENTER, LLC
Practice Location Address:

7225 BERGENLINE AVE , STE 2
NORTH BERGEN, NJ
07047-5497

Practice Phone: 201-662-2117
Practice Fax: 201-662-2118

1134132871 — LUIS ENRIQUE VAZQUEZ FALCON MD
Practice Location Address:

7225 BERGENLINE AVE , FIRST FLOOR
NORTH BERGEN, NJ
07047-5497

Practice Phone: 201-758-8012
Practice Fax: 201-758-8012

1740331826 — DR. NIEVES M FERNANDEZ O.D.
Practice Location Address:

7225 BERGENLINE AVE
NORTH BERGEN, NJ
07047-5497

Practice Phone: 201-861-8813
Practice Fax: 201-861-2695

1619200987 — LUIS E VAZQUEZ MD LLC
Practice Location Address:

7225 BERGENLINE AVE
NORTH BERGEN, NJ
07047-5497

Practice Phone: 201-758-8012
Practice Fax: 201-758-8013

Directions to “PURE HEARTS BEHAVIORAL HEALTHCARE ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.