Mind Wellbeing LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MIND WELLBEING LLC

Practice address

4442 Avery Park Ave
Las Vegas, NV 89110-5488

Phone

(702) 541-4817

NPI assigned

Mar 25, 2024

Organization subpart

No

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

Authorized official

Name

Olugbenga Akinwale Obajuwonlo, MD

Title

MD

Phone

(702) 541-4817

Specialties & licenses 1

Addresses

Other names 1

• Mind wellbeing LLC Other name

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1689424657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4442 AVERY PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105488",
            "telephone_number": "702-541-4817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4442 AVERY PARK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105488",
            "telephone_number": "702-541-4817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIND WELLBEING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-24",
        "status": "A",
        "authorized_official_last_name": "OBAJUWONLO",
        "authorized_official_first_name": "OLUGBENGA",
        "authorized_official_middle_name": "AKINWALE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "702-541-4817",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mind wellbeing LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; 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.