| Type | Company | [sources] | |||
|---|---|---|---|---|---|
| Name | PHENOMENAL ANGELS L.L.C · PHENOMENAL ANGELS, LLC · Phenomenal Angels | [sources] | |||
| Incorporation date | not available | [sources] | |||
| Jurisdiction | United States | [sources] | |||
| Country | United States | [sources] | |||
| BrightQuery ID | BQ_US_NV_E0364742016-9 | [sources] | |||
| Description | MENTAL/BEHAVIORAL HE · OTHER BUSINESS | [sources] | |||
| NPI | 1477908275 | [sources] | |||
| Registration number | not available | [sources] | |||
| Unique Entity ID | EBFUFN6VNE95 | [sources] | |||
| Address | 3380 E RUSSELL ROAD, STE 104, LAS VEGAS, NV 89120 · 3380 E Russell Rd Ste 104, Las Vegas, Nevada, NV, 89120 | [sources] | |||
| Last change | Last processed | First seen | |||
Medical providers who have been excluded/sanctioned from the Nevada Medicaid Program.
United States · DHCFP
A database of suppliers who have been excluded from participating in US federal procurement.
United States · GSA
People and companies excluded from Federally funded health care programs
United States · OIG
The record has been enriched with data from the following external databases:
BrightQuery OpenData.org provides firmographic and legal entity level information for millions of US organizations, enabling enriched organization profiles.
External dataset · BQ · non-official source
us-npi-1477908275 · bq-us-nv-e0364742016-9 · us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0 · us-fed-excl-phenomenal-angels-llc-89120-las-vegasFor experts: raw data explorer
OpenSanctions is free for non-commercial users. Businesses must acquire a data license to use the dataset.
| Sanctions | |||||
|---|---|---|---|---|---|
| Country | Authority | Program | Start date | End date | |
| United States | Department of Health and Human Services Office of Inspector General | - | |||
| Linked from | ||||
|---|---|---|---|---|
| Subject | Role | Start date | End date | |
| Kimberly Broussard | - | - | - | |
| United States | Nevada Department of Health and Human Services Division of Health Care Financing and Policy | - |
| United States | OPM | Reciprocal | - |