BREANNA JOHNSON (NPI# 1043859853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043859853 |
| Entity Type | Individual |
| Full Name | BREANNA JOHNSON |
| Practice Address |
2820 W Charleston Blvd Ste 36 Las Vegas NV 89102-1934 |
| Practice Telephone | 7023620711 |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2019-12-26 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134748916 | Breanna Johnson | Physical Therapy Assistant | 700 Geneva Pkwy N, Lake Geneva, WI 53147-4594 | 2020-04-13 |
| 1235780388 | Breanna Johnson | Counselor | 415 W Main Ave, Gastonia, NC 28052-3844 | 2019-09-20 |
| 1639727969 | Breanna Johnson | Chore Provider | 6725 S Eastern Ave, Las Vegas, NV 89119-3948 | 2019-08-29 |
| 1780166553 | Breanna Johnson | Pharmacist | 6625 W Happy Valley Rd, Glendale, AZ 85310 | 2018-08-29 |
| 1326531625 | Breanna Johnson | Behavior Technician | 16835 Deer Creek Dr Ste 220, Spring, TX 77379-4895 | 2018-06-11 |
| 1497243273 | Breanna Rose Johnson | Counselor | 360 Merrimack St, Lawrence, MA 01843-1740 | 2018-04-26 |
| 1134621675 | Breanna Lynn Johnson | Speech-Language Pathologist | 3520 Executive Center Dr Ste 128, Austin, TX 78731-1636 | 2018-02-28 |
| 1134652670 | Breanna Johnson | Counselor | 5850 San Felipe St, 500, Houston, TX 77057-3070 | 2017-04-11 |
| 1063847473 | Breanna Jo Johnson | Counselor | 320 N Eisenhower Ave, Mason City, IA 50402-1338 | 2013-09-05 |
| 1619262565 | Breanna Dasjinay Johnson | Behavioral Analyst | 1100 N Martin Luther King Blvd, Ste. C, Las Vegas, NV 89106-2853 | 2011-06-17 |
| Street Address |
2820 W CHARLESTON BLVD STE 36 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467006742 | Elaine Reed | Home Health Aide | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2019-07-25 |
| 1376157081 | Dominique Reed | Home Health | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-09-01 |
| 1467077131 | Joseph Landry | Technician | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-06-09 |
| 1902427388 | Johnathan Lewis | Home Health Aide | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-04-27 |
| 1184254443 | Yvonne Smith | Home Health | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-01-24 |
| 1245860451 | Albina Shagieva | Home Health | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-01-16 |
| 1023658499 | Ladre Brown | Home Health | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2020-01-13 |
| 1104465913 | Tammie Knight | Home Health | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2019-12-26 |
| 1801435615 | Vanice Valmore | Technician | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2019-12-26 |
| 1972142842 | Lillian Hemsley | Home Health | 2820 W Charleston Blvd Ste 36, Las Vegas, NV 89102-1934 | 2019-12-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457542 | Maria Isabel Bedolla | Home Health | 5402 S Sir Richard Dr, Las Vegas, NV 89110-4863 | 2020-11-05 |
| 1083212013 | Talya Fritz | Home Health | 10220 Delray Beach Ave Unit 203, Las Vegas, NV 89129-1058 | 2020-10-12 |
| 1174121305 | Pena Francia Home Health Care LLC | Home Health | 2235 E Flamingo Rd Ste 220, Las Vegas, NV 89119-0807 | 2020-10-10 |
| 1467050773 | Real Community Home Health LLC | Home Health | 4660 S Eastern Ave Ste 205, Las Vegas, NV 89119-6139 | 2020-10-09 |
| 1114524311 | Creek View Home Health LLC | Home Health | 2950 E Flamingo Rd Ste H, Las Vegas, NV 89121-5208 | 2020-10-01 |
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1326653908 | Annjo's Home Health Care Inc | Home Health | 3430 E Flamingo Rd Ste 107a, Las Vegas, NV 89121-5003 | 2020-09-10 |
| 1164036968 | My Family Home Health LLC | Home Health | 830 E Sahara Ave, Las Vegas, NV 89104-3009 | 2020-08-31 |
| 1023620333 | 1st Choice Care LLC | Home Health | 6865 Sigri St, Las Vegas, NV 89166-7016 | 2020-08-18 |
| 1114544566 | Gamaliel Digan | Home Health | 3100 E Charleston Blvd Ste 113, Las Vegas, NV 89104-6666 | 2020-07-01 |
| 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.