JGBB LLC (NPI# 1659846699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659846699 |
| Entity Type | Organization |
| Organization Name | JGBB LLC |
| Practice Address |
801 S Rancho Dr Ste D1-b Las Vegas NV 89106-3854 |
| Practice Telephone | 7024785133 |
| Practice Fax Number | 7024785401 |
| Mailing Telephone | 7028254900 |
| Mailing Fax Number | 7029778150 |
| Enumeration Date | 2018-10-05 |
| Last Update Date | 2019-12-13 |
| Authorized Official Name | TERESA PATAWARAN BUCO (ADMINISTRATOR) |
| Authorized Official Telephone | 7027904404 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| Y | 261QI0500X |
Clinic/Center Specialization: Infusion Therapy |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 250004956 | 05 |
| Other Name | Type Code |
|---|---|
| Specialty Care Infusion Center | Doing Business As Name - Organization |
| Street Address |
801 S RANCHO DR STE D1-B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 261QI0500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Infusion Therapy |
| Definition to come... |
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| 1962022830 | Klarity LLC | Clinic/Center | 5145 S Durango Dr Ste 103, Las Vegas, NV 89113-0161 | 2020-04-21 |
| 1295374031 | Mindworks Behavioral Health & Medical Center | Clinic/Center | 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 | 2019-12-26 |
| 1801452982 | Pharmascript Inc | Clinic/Center | 6170 N Durango Dr # 250, Las Vegas, NV 89149-3926 | 2019-05-14 |
| 1205102936 | Push Reset LLC | Clinic/Center | 4315 Dean Martin Dr Ste 230, Las Vegas, NV 89103-4124 | 2012-03-27 |
| 1346514502 | Lsdccn of Nevada LLC | Clinic/Center | 9324 Sienna Ridge Dr, Las Vegas, NV 89117-7013 | 2012-03-05 |
| 1073749552 | Coram Healthcare Corporation of Nevada | Clinic/Center | 101 N Pecos Rd Ste 106, Las Vegas, NV 89101-4800 | 2009-06-10 |
| 1417340902 | Apt Lv LLC | Clinic/Center | 1661 E Flamingo Rd, Suite 6, Las Vegas, NV 89119-5291 | 2015-03-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881639755 | Coram Healthcare Corporation of Nv | Clinic/Center | 1951 Ramrod Ave, Ste 110, Henderson, NV 89014-2400 | 2006-06-17 |
| 1386148195 | Lgcm LLC | Clinic/Center | 70 E Horizon Ridge Pkwy Ste 140, Henderson, NV 89002-7936 | 2018-03-19 |
| 1962913590 | John A Shields, Md Steven A Schiff, Md A Professional Corporation | Clinic/Center | 5423 Reno Corporate Dr., Reno, NV 89511-2250 | 2017-10-23 |
| 1285171249 | Sierra Infectious Disease | Clinic/Center | 75 Pringle Way, Suite 705, Reno, NV 89502-1464 | 2017-01-27 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.