Pmd Ventures LLC
Clinic/Center (Mental Health (Including Community Mental Health Center))

Address: 9867 Antelope Canyon Ave, Las Vegas, NV 89147-7739
Phone: 7029040260

Pmd Ventures LLC (NPI# 1316585177) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1316585177
Entity Type Organization
Organization Name PMD VENTURES LLC
Practice Address 9867 Antelope Canyon Ave
Las Vegas
NV 89147-7739
Practice Telephone 7029040260
Mailing Address 9867 Antelope Canyon Ave
Las Vegas
NV 89147-7739
Authorized Official Name David Hardy (MANAGER)
Authorized Official Telephone 7029040260
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2019-12-11
Last Update Date 2019-12-11

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QM0801X Clinic/Center · Mental Health (Including Community Mental Health Center) Ambulatory Health Care Facilities
No 251S00000X Community/Behavioral Health Agencies

Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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Office Location

Street Address 9867 ANTELOPE CANYON AVE
City LAS VEGAS
State NV
Zip Code 89147-7739

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NPI Name Taxonomy Address Enumeration
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1154782191 Ma Leah Roble Maravillas Behavior Analyst 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 2016-03-18
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Competitor

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City LAS VEGAS
Zip Code 89147

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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