MEDICARE: AMO LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1184006694
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMO LLC

Provider Business Mailing Address
First Line	:	2575 S CIMARRON RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7653
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2575 S CIMARRON RD
Second Line	:	SUITE 200
City	:	LAS VEGAS
State	:	NV
Zip	:	89117-7653
Country	:	US
Telephone Number	:	702-703-7044
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	ANDY JIN
Credential	:
Telephone Number	:	702-703-7044

Provider Enumeration Date	:	06/19/2015
Last Update Date	:	06/19/2015

Similar Medicare Providers

1023008703 — DR. CHRISTOPHER KURANKO DDS
Practice Location Address:

2575 S CIMARRON RD , SUITE 100
LAS VEGAS, NV
89117-7653

Practice Phone: 702-369-7441
Practice Fax: 702-369-1852

1952609794 — MISS GWENDOLYN D GRANT
Practice Location Address:

2575 S CIMARRON RD , STE 104
LAS VEGAS, NV
89117-7653

Practice Phone: 702-476-2899
Practice Fax: 702-476-1575

1851672158 — YONG KIM, PC
Practice Location Address:

2575 S CIMARRON RD , SUITE 100
LAS VEGAS, NV
89117-7653

Practice Phone: 702-369-7441
Practice Fax:

1063807618 — TIFFANY CARTER
Practice Location Address:

2575 S CIMARRON RD , SUITE 104
LAS VEGAS, NV
89117-7653

Practice Phone: 702-476-2899
Practice Fax: 702-476-1575

1043605694 — AKIKO COOKS
Practice Location Address:

2575 S CIMARRON RD , SUITE 104
LAS VEGAS, NV
89117-7653

Practice Phone: 702-476-2899
Practice Fax: 702-476-1575

1700256120 — SCOTT CARLSON
Practice Location Address:

2575 S CIMARRON RD , SUITE #104
LAS VEGAS, NV
89117-7653

Practice Phone: 702-476-2899
Practice Fax: 702-476-1575

Directions to “AMO LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.