Johnny and Mary Jesse LLC

Primary specialty

Adult CompanionTaxonomy code 372600000X

Legal business name

JOHNNY AND MARY JESSE LLC

Practice address

5550 Painted Mirage Rd Ste 320
Las Vegas, NV 89149-4584

Phone

(702) 818-1787

NPI assigned

Jul 12, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Johnny A Jesse

Title

Manager

Phone

(702) 818-1781

Specialties & licenses 1

Addresses

Other names 1

• Golden Heart Senior Care Centennial Hills Doing business as

Electronic endpoints 2

Locations

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

{
    "created_epoch": "1626048000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626048000000",
    "number": "1669044533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494584",
            "telephone_number": "702-818-1787"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5550 PAINTED MIRAGE RD STE 320",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494584",
            "telephone_number": "702-818-1787"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHNNY AND MARY JESSE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-12",
        "last_updated": "2021-07-12",
        "certification_date": "2021-07-12",
        "status": "A",
        "authorized_official_last_name": "JESSE",
        "authorized_official_first_name": "JOHNNY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-818-1781",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smartcare",
            "affiliation": "N",
            "endpointDescription": "Secure site allows scheduling and information input to be used by caregivers with appropriate clearance",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5550 Painted Mirage Rd Ste 320",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891494584",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Smartcare",
            "affiliation": "N",
            "endpointDescription": "Secure site that is used as a scheduling and an informational tool",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5550 Painted Mirage Rd Ste 320",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891494584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Golden Heart Senior Care Centennial Hills",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dena Rachel Johns, M.A, MFT

• Adult Companion in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Adult Companion in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.