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JOHNNY AND MARY JESSE LLC NPI 1669044533


NPI Information

NPI: 1669044533
Provider Name: JOHNNY AND MARY JESSE LLC
Classification: Adult Companion - 372600000X
Entity Type: Organization
Address:
5550 PAINTED MIRAGE RD STE 320
LAS VEGAS, NV
ZIP 89149
Phone: (702) 818-1787
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JOHNNY AND MARY JESSE LLC is an adult companion in Las Vegas, NV. The provider is an individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. JOHNNY AND MARY JESSE LLC NPI is 1669044533. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5550 PAINTED MIRAGE RD STE 320
LAS VEGAS, NV
ZIP 89149-584
Phone: (702) 818-1787

The provider's authorized official is Johnny A Jesse .
The authorized official title is Manager and has the following contact phone number (702) 818-1781.

The enumeration date for this NPI number is 7/12/2021 and was last updated on 7/12/2021.


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
1372600000XAdult CompanionYes

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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