JEFFERSON FAMILY CORPORATION INC (NPI# 1063980860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063980860 |
| Entity Type | Organization |
| Organization Name | JEFFERSON FAMILY CORPORATION INC |
| Practice Address |
1229 W. Adams Las Vegas NV 89106 |
| Practice Telephone | 7026843573 |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2018-11-09 |
| Authorized Official Name | MRS. ANNIE MAE SPENCER (OWNER) |
| Authorized Official Telephone | 7026843573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Cognisive Clinic: The Center For Brain Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548738990 | Jefferson Family Corporation Inc | Community/Behavioral Health | 1229 W Adams Ave, Las Vegas, NV 89106-2839 | 2018-11-04 |
| Street Address |
1229 W. ADAMS |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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| 1659846699 | Jgbb LLC | Clinic/Center | 801 S Rancho Dr Ste D1-b, Las Vegas, NV 89106-3854 | 2018-10-05 |
| 1790272524 | Las Vegas Sleep Center ( Shamiya) Pllc | Clinic/Center | 2400 S Cimarron Rd, Suite 130, Las Vegas, NV 89117 | 2018-04-17 |
| 1750886784 | Aeva Clinic LLC | Clinic/Center | 4641 Blue Diamond Rd Ste 120a, Las Vegas, NV 89139-7610 | 2018-03-30 |
| 1275034621 | Faber IIi, Ltd. | Clinic/Center | 8811 W Sahara Ave Ste 200, Las Vegas, NV 89117-4813 | 2018-02-21 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1750809869 | Buffalo Chiropractic LLC | Clinic/Center | 6420 Spring Mountain Rd Ste 18, Las Vegas, NV 89146-8835 | 2017-09-08 |
| 1376084467 | Valley Medical Associates | Clinic/Center | 8655 S Eastern Ave Ste 101, Las Vegas, NV 89123-2839 | 2017-03-09 |
| 1376080093 | Breagan M Madejek D C, Pllc | Clinic/Center | 1212 Casino Center Drive, Las Vegas, NV 89104 | 2017-01-20 |
| 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.