Active NPI
One Hundred Percent Well LLC
- Behavior Analyst
- Las Vegas, NV
National Provider Identifier
1275824195
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Analyst
- License
- 103K00000X
- 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, 2011
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Analyst | 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
National Provider Directory
National Provider Directory- Tax ID family
- One Hundred Percent Well LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Agency
- Las Vegas, NV
- NPI 1891078036
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
- One Day at a Time Wellness Center, LLC
- One Day at a Time, LLC
- One Dental Group LLC (Paradise Village Dental Center)
- One for All LLC
- One for All NV
- One Hundred Percent Well LLC
- One in a Million Health Care LL C
- One in a Million Home Health Care LLC
- One Life Therapy LLC
- One on One Health Care Services, LLC
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.