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Canonical ID: NK-aKxpe96ViGRCw2nf6E9eb5 · Entity type: Company (reference)
| Property | Value | Lang | Source dataset | Source ID | First seen | ||
|---|---|---|---|---|---|---|---|
Company:address | 3380 E Russell Rd Ste 104, Las Vegas, Nevada, NV, 89120 | brightquery | bq-us-nv-e0364742016-9 | ||||
Company:address | 3380 E RUSSELL ROAD, STE 104, LAS VEGAS, NV 89120 | eng | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
Organization:address | 3380 E RUSSELL RD, SUITE 104, LAS VEGAS, NV 891203402 | ext_us_cms_npi | us-npi-1477908275 | ||||
LegalEntity:address | 3380 E RUSSELL ROAD, STE 104, LAS VEGAS, NV 89120 | eng | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
Organization:alias | PHENOMENAL ANGELS | ext_us_cms_npi | us-npi-1477908275 | ||||
Company:brightQueryId | BQ_US_NV_E0364742016-9 | brightquery | bq-us-nv-e0364742016-9 | ||||
Company:brightQueryOrgId | 100049740197 | brightquery | bq-us-nv-e0364742016-9 | ||||
Company:country | us | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
Organization:country | us | ext_us_cms_npi | us-npi-1477908275 | ||||
LegalEntity:country | us | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
LegalEntity:country | us | us_nv_med_exclusions | us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0 | ||||
LegalEntity:createdAt | 2022-10-18 | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
Company:description | OTHER BUSINESS | eng | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
Company:description | MENTAL/BEHAVIORAL HE | eng | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
Company:id | 10ff2df7b1020fad71462584e73a8fc96ed4416e | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
LegalEntity:id | 0680fa68e265503831cf1bb944928004db200d04 | us_nv_med_exclusions | us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0 | ||||
LegalEntity:id | 15c3eddf293af97b7ef04980b72d11ae8a793a8b | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
Company:id | b7f365c5d3744eb2afa1ed67d5effcb4a1f59fd6 | brightquery | bq-us-nv-e0364742016-9 | ||||
Organization:id | 8f2c2919a8a9cfabb78241596995f97d575bb290 | ext_us_cms_npi | us-npi-1477908275 | ||||
Company:jurisdiction | us | brightquery | bq-us-nv-e0364742016-9 | ||||
Company:name | PHENOMENAL ANGELS L.L.C | brightquery | bq-us-nv-e0364742016-9 | ||||
Company:name | PHENOMENAL ANGELS, LLC | eng | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
LegalEntity:name | Phenomenal Angels | eng | us_nv_med_exclusions | us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0 | |||
Organization:name | KIMBERLY BROUSSARD | ext_us_cms_npi | us-npi-1477908275 | ||||
LegalEntity:name | PHENOMENAL ANGELS, LLC | eng | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
Organization:npiCode | 1477908275 | ext_us_cms_npi | us-npi-1477908275 | ||||
LegalEntity:npiCode | 1477908275 | eng | us_nv_med_exclusions | us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0 | |||
Company:npiCode | 1477908275 | eng | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
Company:programId | US-HHS-OIG | eng | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||
LegalEntity:topics | debarment | us_nv_med_exclusions | us-mednv-b96128fdabe5b4ea4f5140a43dab99a195e188f0 | ||||
Company:topics | debarment | us_hhs_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
LegalEntity:topics | debarment | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | ||||
LegalEntity:uniqueEntityId | EBFUFN6VNE95 | eng | us_sam_exclusions | us-fed-excl-phenomenal-angels-llc-89120-las-vegas | |||