PATRICK DA'VON PORTER (NPI# 1023644630) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023644630 |
| Entity Type | Individual |
| Full Name | PATRICK DA'VON PORTER |
| Practice Address |
4975 Duneville St Apt 325 Las Vegas NV 89118-1272 |
| Practice Telephone | 7024174139 |
| Enumeration Date | 2020-03-14 |
| Last Update Date | 2020-03-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
NV | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982083176 | Patrick Porter | Physical Therapist | 1431 N Western Ave, Suite 510, Chicago, IL 60622-1797 | 2015-05-21 |
| 1124109236 | Patrick Gerard Porter | Respiratory Therapist, Certified | 4150 Clement St, San Francisco, CA 94121-1545 | 2006-10-17 |
| Street Address |
4975 DUNEVILLE ST APT 325 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-1272 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366001950 | Gerardo A Mariano | Assisted Living Facility | 4462 Farmcrest Dr, Las Vegas, NV 89121-4906 | 2019-06-07 |
| 1841855319 | Rainbow Adult Care LLC | Assisted Living Facility | 1823 Belcastro St, Las Vegas, NV 89117-2103 | 2019-05-09 |
| 1275026965 | Helping Hands Care Home II | Assisted Living Facility | 11745 Stonewall Springs Ave, Las Vegas, NV 89138-1577 | 2018-06-07 |
| 1396081477 | Faith Shari Group Home | Assisted Living Facility | 3364 Rosario Cir, Las Vegas, NV 89121-2397 | 2012-12-18 |
| 1902175144 | Cgl Group Corp | Assisted Living Facility | 1900 Eliminator Dr, Las Vegas, NV 89146-1136 | 2011-12-16 |
| 1043511132 | Mijn Corporation | Assisted Living Facility | 3933 Captain Jon Ave, Las Vegas, NV 89104-5024 | 2010-11-05 |
| 1730726704 | Palma Holdings LLC | Assisted Living Facility | 100 S 14th St, Las Vegas, NV 89101 | 2019-12-09 |
| 1457995813 | Grace Wellness Center LLC | Assisted Living Facility | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2019-10-29 |
| 1770133118 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3970 Maryland Ave, Las Vegas, NV 89121-4559 | 2019-09-18 |
| 1023667276 | Gge Enterprises LLC | Assisted Living Facility | 3970 Maryland Ave, Las Vegas, NV 89121-4559 | 2019-09-10 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.