Moments N Memories Banquet Hall LLC.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

MOMENTS N MEMORIES BANQUET HALL LLC.

Doing business as

Divine care Family Services

Practice address

921 W Owens Ave Ste 170
Las Vegas, NV 89106-5407

Phone

(702) 689-0133

NPI assigned

Jan 29, 2019

Last updated

Mar 2, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Stacey Lee-Owens

Title

Manager

Phone

(702) 689-0133

Specialties & licenses 1

Addresses

Other names 1

• Divine care Family Services Doing business as

Tax ID family

Divine Care Family Services2 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.

• Divine Care Family Services LLC

  • Community/Behavioral Health Agency
  • Phoenix, AZ
  • NPI 1821675612
  NPD tax ID

Locations

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1548724099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 W OWENS AVE STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891065407",
            "telephone_number": "702-689-0133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 W OWENS AVE STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891065407",
            "telephone_number": "702-689-0133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTS N MEMORIES BANQUET HALL LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-29",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "LEE-OWENS",
        "authorized_official_first_name": "STACEY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-689-0133"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Divine care Family Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Divine care Family Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jacqueline Mollinedo
• Molly Eckert Aprn PLLC (Telehealth Nurse Practitioner)
• Rita Molojang
• Molok Rahnema MD Valley Endocrinology PLLC (Valley Endocrinology)
• Mom and Pop Caregiving Agency Inc
• Momentum Counseling Services
• George Dalsuke Momii, M.D.
• Abdul-Rasheed Momodu
• Anita Aisha Obehi Momodu
• Obiageli Momodu

• Community/Behavioral Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community/Behavioral Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; 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.