BLUEBIRD MEDICAL SUPPLY INC SOS Flagged
1400 S DECATUR BLVD, LAS VEGAS, NV 89102
NPI Number
1952775280
Practice location · View on Google Maps
SOS Verification: Questionable
Entity Name: R & R MEDICAL SUPPLY CORP.
Entity Number: C18988-2004
Entity Type: Domestic Corporation
Entity Status: Administrative Hold
Formation Date: 2004-07-19
Status Changed: 2018-08-01
Compliance Hold: YES
Name Match: 80%
Compliance Hold
Registered Agent
Name: A.AR. KLEIN
Type: Non-Commercial Registered Agent
Address: 844 N RAINBOW BLVD, LAS VEGAS, NV, 89107
Mailing: 9010 RESEDA BLVD STE 211, NORTHRIDGE, AA, 91324
Research Report
Operates as: R & R Medical Supply Corp (Corp 522416, Carmen Reyes)
9th NPI under Carmen Reyes / R & R Medical Supply Corp network (Corp 522416). Same DME fraud pattern documented across investigation — 10 NPIs across 5 business names, sole officer Carmen Reyes in Granada Hills CA.
Source: Previously documented
Still Questionable
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Inactive |
| Secretary | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Inactive |
| Director | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Inactive |
| Treasurer | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Inactive |
| President | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Active |
| Secretary | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Active |
| Director | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Active |
| Treasurer | CARMEN REYES | 17839 CHATSWORTH ST, GRANADA HILLS, CA, 91344 | Active |
Campaign Contributions
Officer / Individual Matches
Carolina ReyesPossible Match
Matched via officer: CARMEN REYES (President)