MJM Ventures LLC

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

MJM VENTURES LLC

Practice address

3663 E Sunset Rd Ste 503
Las Vegas, NV 89120-3299

Phone

(702) 405-7992

Fax

(702) 405-7920

NPI assigned

Jan 14, 2020

Organization subpart

No

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

Authorized official

Name

Joy Marie Banzon Villamora

Title

President

Phone

(702) 405-7992

Specialties & licenses 6

Addresses

Other identifiers 1

Other names 1

• TOTAL COMPREHENSIVE OUTPATIENT THERAPY & WELLNESS CENTER Doing business as

Electronic endpoints 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maretes Godinez

  • Case Manager/Care Coordinator
  • Las Vegas, NV
  • NPI 1790343721
  NPD
• Joy Villamora, RN

  • Registered Nurse
  • Las Vegas, NV
  • NPI 1518474261
  NPD

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579478400000",
    "number": "1104466416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3700 PORTIANI DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891416149",
            "telephone_number": "702-286-4603",
            "fax_number": "702-405-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3663 E SUNSET RD STE 503",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203299",
            "telephone_number": "702-405-7992",
            "fax_number": "702-405-7920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MJM VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-20",
        "certification_date": "2020-01-20",
        "status": "A",
        "authorized_official_last_name": "VILLAMORA",
        "authorized_official_first_name": "JOY MARIE",
        "authorized_official_middle_name": "BANZON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-405-7992"
    },
    "taxonomies": [
        {
            "code": "261QC1800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Corporate Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA",
            "identifier": "NV20191507489",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "total@ttherawellnv.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "3663 E Sunset Rd Ste 503",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891203299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "TOTAL COMPREHENSIVE OUTPATIENT THERAPY & WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leah Kiki Mizuno
• MJ LCSW LLC
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• MJD, LLC
• MJD, LLC
• Mjmurray Services LLC
• MK Elevated LLC
• MK-Rdnutrition
• Sara Mkhlalati
• Armine Mkrtchyan

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.