BOULDER CITY NV OPCO LLC SOS Verified
601 ADAMS BLVD, BOULDER CITY, NV 89005
NPI Number
1780326231
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: BOULDER CITY NV OPCO LLC
Entity Number: E21460162022-6
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2022-03-03
Status Changed: 2022-03-03
Name Match: 95%
Registered Agent
Name: CORPORATE CREATIONS NETWORK INC.
Type: Commercial Registered Agent
Address: 112 NORTH CURRY STREET, Carson City, NV, 89703
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | BOULDER CITY NV HOLDCO LLC | 980 Sylvan Avenue, Englewood Cliffs, NJ | Active |
| Other | Isaac Rami | 1815 Lakewood Road #171, Toms River, NJ | Active |
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2023 | $0 | |
| 2024 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| 97150 | Group therapy session (physical, occupational, or speech) | 227 | $0 | 0.0% | $0 |
| 92507 | Speech therapy session — treatment for speech, language, or swallowing problems | 1,085 | $0 | 0.0% | $0 |
| 97530 | Therapeutic activities — exercises and tasks to improve daily function | 5,125 | $0 | 0.0% | $0 |
| 92526 | Treatment for swallowing problems | 673 | $0 | 0.0% | $0 |
| 97535 | Self-care training — learning to do daily activities like dressing, cooking, or bathing | 1,471 | $0 | 0.0% | $0 |
| 97112 | Neuromuscular re-education — retraining muscles and movement patterns | 1,509 | $0 | 0.0% | $0 |
| 97110 | Physical therapy exercises to build strength, flexibility, or range of motion | 3,454 | $0 | 0.0% | $0 |