Organization
JGBB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA PATAWARAN BUCO RN (ADMINISTRATOR)
(702) 790-4404
Entity
Organization
Contact information
Practice address
801 S RANCHO DR STE D1-B, LAS VEGAS, NV 89106-3854
(702) 478-5133
(702) 478-5401
Mailing address
801 S RANCHO DR STE D1-B, LAS VEGAS, NV 89106-3854
(702) 825-4900
(702) 977-8150
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
—
—
163WH0200X
Home Health Registered Nurse
—
—
163WI0500X
Infusion Therapy Registered Nurse
—
—
163WP2201X
Ambulatory Care Registered Nurse
—
—
164W00000X
Licensed Practical Nurse
—
—
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QI0500X
Infusion Therapy Clinic/Center
Primary
—
—
261QP2400X
Prison Health Clinic/Center
—
—
332BN1400X
Nursing Facility Supplies (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250004956
—
NV
Enumeration date
10/05/2018
Last updated
01/13/2026
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us