MJM VENTURES LLC NPI 1104466416

NPI Information

NPI: 1104466416
Provider Name: MJM VENTURES LLC
Classification: Clinic/Center - 261QR0401X
Entity Type: Organization

Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Address:
3663 E SUNSET RD STE 503
LAS VEGAS, NV
ZIP 89120
Phone: (702) 405-7992
Get Directions

MJM VENTURES LLC is a rehabilitation and comprehensive outpatient rehabilitation facility (corf) clinic center in Las Vegas, NV. MJM VENTURES LLC NPI is 1104466416. The provider is registered as an organization entity type.

The provider's business location address is:

3663 E SUNSET RD STE 503
LAS VEGAS, NV
ZIP 89120-299
Phone: (702) 405-7992
Fax: (702) 405-7920

The provider's authorized official is Joy Marie Banzon Villamora .
The authorized official title is President and has the following contact phone number (702) 405-7992.

The enumeration date for this NPI number is 1/14/2020 and was last updated on 1/20/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	261QC1800X	Clinic/Center	Corporate Health	No
2	261QH0100X	Clinic/Center	Health Service	No
3	261QP2000X	Clinic/Center	Physical Therapy	No
4	261QR0401X	Clinic/Center	Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)	Yes
5	261QR0404X	Clinic/Center	Rehabilitation, Cardiac Facilities	No
6	302R00000X	Health Maintenance Organization		No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	NV20191507489	OTHER	NEVADA	STATE OF NEVADA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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