Nevada Mental Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

NEVADA MENTAL CARE LLC

Practice address

626 N Rainbow Blvd
Las Vegas, NV 89107-1101

Phone

(702) 766-9142

NPI assigned

Jan 26, 2019

Last updated

Jan 26, 2019By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Nnenna OlubajoNPI 1326581802

Title

Owner

Phone

(267) 324-9300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nnenna Olubajo

  • Psychiatric/Mental Health Nurse Practitioner
  • Harlingen, TX
  • NPI 1326581802

  NV

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1548460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548460800000",
    "number": "1053875831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 N RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 N RAINBOW BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891071101",
            "telephone_number": "702-766-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA MENTAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-26",
        "last_updated": "2019-01-26",
        "status": "A",
        "authorized_official_last_name": "OLUBAJO",
        "authorized_official_first_name": "NNENNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "267-324-9300"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nevada Medical Clinic LLC
• Nevada Medical Professionals (Beckett and Cowan) PLLC
• Nevada Medical Specialists Inc
• Nevada Medical Transportation
• Nevada Memory Care & Assisted Living Centers LLC
• Nevada Mental Health Associates, LLC
• Nevada Mental Health LLC
• Nevada Mental Health, LLC
• Nevada Mercy and Care Inc
• Nevada Mercy and Care Inc

• Clinic/Center in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.