I Am Me Haven To Health, LLC · Clinic/Center

3808 Fairway Cir, Las Vegas, NV 89108-1106

Overview

I Am Me Haven To Health, LLC is a Clinic/Center (organization) practicing in Las Vegas, Nevada. The National Provider Identifier (NPI) is #1124815113, which was assigned on April 22, 2025, and the registration record was last updated on July 18, 2025. The practitioner's main practice location is at 3808 Fairway Cir, Las Vegas, NV 89108-1106; the contact telephone number is 7258671130, and the fax number is 7253338966. The primary taxonomy of I Am Me Haven To Health, LLC is Clinic/Center (261Q00000X). The authorized official for I Am Me Haven To Health, LLC is Mrs. Antoinette Mims (Executive Director).

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

Provider Information

NPI 1124815113
Entity Type Organization
Organization Name I AM ME HAVEN TO HEALTH , LLC
Provider Name I AM ME HAVEN TO HEALTH , LLC
Practice Address 3808 Fairway Cir
Las Vegas
NV 89108-1106
Practice Telephone 7258671130
Practice Fax Number 7253338966
Mailing Address 3808 Fairway Cir
Las Vegas
NV 89108-1106
Mailing Telephone 6788129764
Mailing Fax Number 7253338966
Certification Date 2025-07-18
Enumeration Date 2025-04-22
Last Update Date 2025-07-18
Is Organization Subpart N

Authorized Official Information

Official Name MRS. ANTOINETTE MIMS
Official Title EXECUTIVE DIRECTOR
Credential AABA, CHW I
Telephone 6788129764

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y261Q00000XClinic/Center

Taxonomy Information

Primary Taxonomy

Code 261Q00000X
Taxonomy Clinic/Center
Classification Clinic/Center
Grouping Ambulatory Health Care Facilities
Definition: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Location Information

Street Address 3808 FAIRWAY CIR
City LAS VEGAS
State NV
Zip Code 89108-1106
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
The Just One Project 1401 N Decatur Blvd Ste 34, Las Vegas, NV 89108-1219Case Management Agency2025-09-03
Elizabeth Lopez Palacios 6100 Carmen Blvd, Las Vegas, NV 89108Personal Care Attendant2025-02-27
Rainbow Assisting Living LLC 6641 Miners Hope Dr, Las Vegas, NV 89108-1889Alzheimer Center (Dementia Center)2025-03-11
Maira Acuna 6521 Rain Forest Dr, Las Vegas, NV 89108-1844Home Health Agency2025-08-05
Savannah Dryden 1818 N Jones Blvd, Las Vegas, NV 89108-1643Mental Health Counselor2022-05-04
L.E.G.S. Transitional Services 6501 Vegas Blvd Unit 2088, Las Vegas, NV 89108Community Health Worker2025-10-01
Alfonso Venusciano Jimenez 1699 Michael Way, Las Vegas, NV 89108Home Health Aide2025-03-12
Sonya Wilbon 6151 Vegas Dr, Las Vegas, NV 89108-2593Home Health Aide2025-08-26
Phileta C Pumphrey 1313 Pocono Way, Las Vegas, NV 89108Behavioral Analyst2011-10-20
Jennifer Christine Roy 5209 Apple Valley Ln, Las Vegas, NV 89108-1401Chore Provider2025-07-10
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.