Organization
JGBB LLC
Active
Parent organization
JGBB LLC
Other names
Specialty Care Infusion Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
JGBB LLC
Authorized official
TERESA PATAWARAN BUCO RN (REGIONAL MANAGER)
(702) 478-5133
Entity
Organization
Contact information
Practice address
7151 CASCADE VALLEY CT UNIT 101102, UNIT 101 AND 102, LAS VEGAS, NV 89128-0496
(702) 825-4900
Mailing address
801 S RANCHO DR STE D1-B, LAS VEGAS, NV 89106-3854
(702) 587-5833
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250004956
—
NV
Enumeration date
05/02/2022
Last updated
01/13/2026
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