NPIMap

Organization Active NPI

Restoration and Recovery, LLC

  • Multi-Specialty Clinic/Center
  • Las Vegas, NV
National Provider Identifier
1467929588
Registry record updated Oct 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
RESTORATION AND RECOVERY, LLC
Practice address
811 S Decatur Blvd
Las Vegas, NV 89107-3933
Phone
(702) 302-4288
Fax
(702) 790-2570
NPI assigned
Oct 26, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2018

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

Authorized official

Name
Marivelle Nunez-Rucker
Title
Owner
Phone
(702) 302-4288

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

811 S Decatur Blvd
Las Vegas, NV 89107-3933

Mailing address

811 S Decatur Blvd
Las Vegas, NV 89107-3933
Phone (702) 302-4288

Other identifiers 1

IdentifierTypeStateIssuer
1336480730OtherNVNPPES

National Provider Directory

National Provider Directory
Tax ID family
Restoration and Recovery LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

811 S Decatur Blvd
Las Vegas, NV 89107
Phone (702) 302-4288

NPI Registry JSON

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

{
    "created_epoch": "1540512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540512000000",
    "number": "1467929588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "811 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073933",
            "telephone_number": "702-302-4288",
            "fax_number": "702-790-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073933",
            "telephone_number": "702-302-4288",
            "fax_number": "702-790-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION AND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-26",
        "last_updated": "2018-10-26",
        "status": "A",
        "authorized_official_last_name": "NUNEZ-RUCKER",
        "authorized_official_first_name": "MARIVELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-302-4288"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1336480730",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 26, 2018; 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.