Las Vegas Mobile Resource Hub
Rehabilitation Practitioner in Las Vegas, NV. Organization (NPI-2).
NPI number1013890664
StatusActive
Last updated in NPPESJul 30, 2025
Details
- NPI
- 1013890664
- Entity type
- Organization (NPI-2)
- Legal business name
- Las Vegas Mobile Resource Hub
- Organization subpart
- No
- Enumeration date
- Jul 30, 2025
- Certification date
- Jul 30, 2025
- Last updated
- Jul 30, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225400000X | Rehabilitation Practitioner | – | – | Yes |
Practice location
732 S 6th St Ste RLas Vegas, NV 89101-6948
Phone 775-239-8520
Mailing address
7200 Pirates Cove Rd Unit 1078Las Vegas, NV 89145-4259
Phone 725-246-6247
Authorized official
Bandy McCullouch
Ceo
7752398520
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 3,593 Rehabilitation Practitioner providers in Las Vegas · All 80,918 providers in Las Vegas
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