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JGBB LLC NPI 1174268429


NPI Information

NPI: 1174268429
Provider Name: JGBB LLC

Doing Business As: SPECIALTY CARE INFUSION CENTER

Classification: Registered Nurse - 163WI0500X
Entity Type: Organization

Specialization: Infusion Therapy

CLIA Number: 29D2295400

Address:
511 E ROBINSON ST STE 2
CARSON CITY, NV
ZIP 89701
Phone: (702) 825-4900
Get Directions

JGBB LLC is an infusion therapy registered nurse in Carson City, NV. JGBB LLC NPI is 1174268429. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Specialty Care Infusion Center.

The provider's business location address is:

511 E ROBINSON ST STE 2
CARSON CITY, NV
ZIP 89701-070
Phone: (702) 825-4900

The provider's authorized official is Teresa Patawaran Buco .
The authorized official title is Regional Manager and has the following contact phone number (702) 478-5133.

The CLIA number assigned to this NPI record is 29D2295400 - skilled nursing facility/nursing facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/2/2022 and was last updated on 5/5/2022.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1163W00000XRegistered NurseNo
2163WH0200XRegistered NurseHome HealthNo
3163WP2201XRegistered NurseAmbulatory CareNo
4363L00000XNurse PractitionerNo
5163WI0500XRegistered NurseInfusion TherapyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1250004956MEDICAIDNEVADA

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

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