Organization Active NPI

One Hundred Percent Well LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1891078036
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
ONE HUNDRED PERCENT WELL LLC
Practice address
4559 Sparwood Dr
Las Vegas, NV 89147-8212
Phone
(702) 275-5190
Fax
(702) 275-5190
NPI assigned
Sep 23, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Authorized official

Name
Roderick Adams
Title
President
Phone
(702) 275-5190

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

4559 Sparwood Dr
Las Vegas, NV 89147-8212

Mailing address

4559 Sparwood Dr
Las Vegas, NV 89147-8212
Phone (702) 275-5190

National Provider Directory

National Provider Directory
Tax ID family
One Hundred Percent Well LLC2 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.

NPI Registry JSON

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

{
    "created_epoch": "1316736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316736000000",
    "number": "1891078036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4559 SPARWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478212",
            "telephone_number": "702-275-5190",
            "fax_number": "702-275-5190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4559 SPARWOOD DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478212",
            "telephone_number": "702-275-5190",
            "fax_number": "702-275-5190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ONE HUNDRED PERCENT WELL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-23",
        "last_updated": "2011-09-23",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "RODERICK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-275-5190"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Sep 23, 2011; 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.