A-GRAV 1 LLC (NPI# 1982947701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982947701 |
| Entity Type | Organization |
| Organization Name | A-GRAV 1 LLC |
| Other Organization Name | MOON WALK CARDIO |
| Practice Address |
365 E Windmill Ln Las Vegas NV 89123-1807 |
| Mailing Address |
2375 E Tropicana Ave # 271 Las Vegas NV 89119-6564 |
| Practice Telephone | 7026753569 |
| Practice Fax Number | 7027019413 |
| Mailing Telephone | 7026753569 |
| Mailing Fax Number | 7027019413 |
| Enumeration Date | 2013-03-29 |
| Last Update Date | 2013-03-29 |
| Authorized Official Name | MR. DENNIS LAVERN DUBOIS (MANAGING MEMBER) |
| Authorized Official Telephone | 7023738151 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities | ||
| Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| MOON WALK CARDIO | Doing Business As Name - Organization |
| Street Address |
365 E WINDMILL LN |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-1807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 1437714995 | Vladimir Jose Pedraza | Technician | 8330 Collado St, Las Vegas, NV 89123 | 2019-05-09 |
| 1174026017 | Jenni Das | Behavior Technician | 62 E Serene Ave Unit 129, Las Vegas, NV 89123 | 2018-03-16 |
| 1134621717 | Catherine Domingo Leanu | Technician | 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 | 2018-02-28 |
| 1801397583 | Titus Aldea | Technician | 8419 Yamhill St, Las Vegas, NV 89123 | 2018-02-27 |
| 1699291997 | Angel's Touch Home Care LLC | In Home Supportive Care | 8382 Marcasel Dr, Las Vegas, NV 89123 | 2017-08-17 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
| Taxonomy Code | 261QH0100X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Health Service |
| Definition to come... |
| Notes: [7/1/2006: modified title] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205437480 | Activate Healthcare | Clinic/Center | 11011 W Charleston Blvd, Las Vegas, NV 89135-1402 | 2020-11-04 |
| 1124672464 | Blue Zone Innergy | Clinic/Center | 2780 S Jones Blvd # 3665, Las Vegas, NV 89146-5628 | 2019-07-25 |
| 1760048326 | The Physicians Ma LLC | Clinic/Center | 5280 S Eastern Ave Ste A-9, Las Vegas, NV 89119-2396 | 2019-05-18 |
| 1962964213 | Grow Corporation | Clinic/Center | 517 S Tonopah Dr, Las Vegas, NV 89106-4047 | 2019-04-04 |
| 1922582675 | Activate Healthcare - Local 525 A | Clinic/Center | 1607 East Windmill Lane, Suite 100, Las Vegas, NV 89123-1905 | 2018-09-19 |
| 1275027229 | Halo Chiropractic Wellness Clinic & Performance Center | Clinic/Center | 8930 W Sunset Rd Ste 350, Las Vegas, NV 89148-5042 | 2018-06-21 |
| 1659736262 | Anti-aging, Inc | Clinic/Center | 10200 Trailing Dalea Ave, Las Vegas, NV 89135-2083 | 2015-12-24 |
| 1295149508 | Dr. Yong H Jung, Ltd | Clinic/Center | 5755 S Rainbow Blvd, Suite 101, Las Vegas, NV 89118-2534 | 2014-06-13 |
| 1194077172 | Baby's First Day, LLC | Clinic/Center | 332 S Jones Blvd, Las Vegas, NV 89107-2623 | 2012-10-15 |
| 1508126962 | Athletic Healthcare Incorporated | Clinic/Center | 4840 Englewood Ave, Las Vegas, NV 89139-5776 | 2012-05-19 |
| Find all providers in LAS VEGAS | ||||
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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.