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PHENOMENAL ANGELS, LLC

Debarred entity

PHENOMENAL ANGELS, LLC is an entity of interest. It has not been found on international sanctions lists.

Type	Company				[sources]
Name	PHENOMENAL ANGELS, LLC · Phenomenal Angels				[sources]
Incorporation date	not available				[sources]
Jurisdiction	not available				[sources]
Country	United States				[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 ROAD, STE 104, LAS VEGAS, NV 89120, USA				[sources]
Last change	2025-09-12	Last processed	2025-11-30	First seen	2024-05-08

Sanctions
Country	Authority	Program	Start date	End date
United States	Department of Health and Human Services Office of Inspector General		2022-08-18	-

Linked from
Subject	Role	Start date	End date
Kimberly Broussard	-	-	-

A database of suppliers who have been excluded from participating in US federal procurement.

United States · GSA

Medical providers who have been excluded/sanctioned from the Nevada Medicaid Program.

United States · DHCFP

People and companies excluded from Federally funded health care programs

United States · OIG

Source data IDs: us-fed-excl-phenomenal-angels-llc-89120-las-vegas · us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0

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