FJW Incorporated

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

FJW INCORPORATED

Practice address

2870 S Maryland Pkwy Ste 230
Las Vegas, NV 89109-1548

Phone

(702) 330-0530

Fax

(702) 476-9930

NPI assigned

Oct 15, 2021

Organization subpart

No

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

Authorized official

Name

Rita Kuhl

Title

Director

Phone

(702) 762-2592

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Axis Health of Nevada Doing business as

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

{
    "created_epoch": "1634256000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679443200000",
    "number": "1104589266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-330-0530",
            "fax_number": "702-476-9930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2870 S MARYLAND PKWY STE 230",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891091548",
            "telephone_number": "702-330-0530",
            "fax_number": "702-476-9930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FJW INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-15",
        "last_updated": "2023-03-22",
        "certification_date": "2023-03-22",
        "status": "A",
        "authorized_official_last_name": "KUHL",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-762-2592"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "250016271",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Axis Health of Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Five Star Home Care Services Inc.
• Five Star Reliable Transportation, LLC
• Mary Fixico
• Trazay Fizer
• FJR Care Services LLC
• FJW Incorporated
• FKS Enterprise Inc
• Talece Kyla Flaack-Sanchez
• Clarice Fladger
• Melany Fladger

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2023; 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.