Love Struck Virgin Remy LLC

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

Legal business name

LOVE STRUCK VIRGIN REMY LLC

Practice address

261 N Lamb Blvd Unit B
Las Vegas, NV 89110-0505

Phone

(314) 574-8970

NPI assigned

Apr 25, 2022

Last updated

May 3, 2022By 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

Victoria Danielle CottonNPI 1063150340

Title

Owner

Phone

(314) 574-8970

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Victoria Danielle Cotton

  • Prosthetics Case Management
  • Las Vegas, NV
  • NPI 1063150340
  NPD Authorized official

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

{
    "created_epoch": "1650844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651536000000",
    "number": "1568106573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 N LAMB BLVD UNIT B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100505",
            "telephone_number": "314-574-8970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 N LAMB BLVD UNIT B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891100505",
            "telephone_number": "314-574-8970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE STRUCK VIRGIN REMY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-25",
        "last_updated": "2022-05-03",
        "certification_date": "2022-05-03",
        "status": "A",
        "authorized_official_last_name": "COTTON",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "DANIELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-574-8970"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "8594848718",
            "affiliation": "N",
            "endpointDescription": "Love Struck Hair RX",
            "address_1": "261 N Lamb Blvd Unit B",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891100505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Joy Love-Grant
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• Prosthetic/Orthotic Supplier in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Prosthetic/Orthotic Supplier in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2022; 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.