Organization Active NPI

One Hundred Percent Well LLC

  • Behavior Analyst
  • Las Vegas, NV
National Provider Identifier
1275824195
Registry record updated Apr 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior AnalystTaxonomy code 103K00000X
License
103K00000X Issued in NV
Legal business name
ONE HUNDRED PERCENT WELL LLC
Practice address
2881 S Valley View Blvd
Suite #25
Las Vegas, NV 89102-0100
Phone
(702) 275-5190
Fax
(702) 430-1265
NPI assigned
Apr 26, 2011
Last updated
Apr 26, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2011

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

Authorized official

Name
Mr. Reese Lamounte Thomas-McDade I, BSW
Title
Chief Executive Officer
Phone
(702) 275-5190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X 103K00000X NV Primary

Addresses

Primary practice location

2881 S Valley View Blvd
Suite #25
Las Vegas, NV 89102-0100

Mailing address

4559 Sparwood Dr
Las Vegas, NV 89147-8212
Phone (702) 275-5190

Other names 1

  • OPW Other name

National Provider Directory

National Provider Directory
Tax ID family
One Hundred Percent Well LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2881 S Valley View Blvd
Ste 25
Las Vegas, NV 89102
Phone (702) 275-5190

NPI Registry JSON

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

{
    "created_epoch": "1303776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1303776000000",
    "number": "1275824195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4559 SPARWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478212",
            "telephone_number": "702-275-5190",
            "fax_number": "702-430-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2881 S VALLEY VIEW BLVD",
            "address_2": "SUITE #25",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020100",
            "telephone_number": "702-275-5190",
            "fax_number": "702-430-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HUNDRED PERCENT WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-26",
        "last_updated": "2011-04-26",
        "status": "A",
        "authorized_official_last_name": "THOMAS-MCDADE",
        "authorized_official_first_name": "REESE",
        "authorized_official_middle_name": "LAMOUNTE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-275-5190",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "BSW"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": "NV",
            "license": "103K00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "OPW",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2011; 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.