MEDICARE: MEDICAL ARTS GROVES INC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	364SH0200X	Home Health Clinical Nurse Specialist
2	164W00000X	Licensed Practical Nurse
3	208600000X	Surgery Physician
4	225100000X	Physical Therapist
5	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1245174218
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MEDICAL ARTS GROVES INC

Provider Business Mailing Address
First Line	:	330 E WARM SPRINGS RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4281
Country	:	US
Telephone Number	:	877-416-7317
Fax Number	:	877-416-7317

Provider Business Practice Location Address
First Line	:	330 E WARM SPRINGS RD STE 100
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89119-4281
Country	:	US
Telephone Number	:	877-416-7317
Fax Number	:	877-416-7317

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DR. JAMEY RICHARDSON
Credential	:	DR
Telephone Number	:	877-416-7317

Provider Enumeration Date	:	04/17/2026
Last Update Date	:	04/17/2026

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Directions to “MEDICAL ARTS GROVES INC ” Practice Location

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