OrganizationActive
A Life Well Lived
NPI 1558720656 · Community/Behavioral Health Agency · Las Vegas, NV
Provider details
- NPI number
- 1558720656
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Lloyd Cervantes, Owner(702) 767-5396
Specialties & taxonomies
Agencies
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2441 Tech Center Ct
Las Vegas, NV 89128-0804
Phone: (702) 767-5396
Street-level locationGet directions
Mailing address
10525 Hamdem Ave
Las Vegas, NV 89129-6444
Registry dates
- Enumerated
- 2016-02-17
- Last updated
- 2016-02-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.