AMANDA HALEY (NPI# 1083103014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083103014 |
| Entity Type | Individual |
| Full Name | AMANDA HALEY |
| Practice Address |
2110 E Flamingo Rd Ste 110 Las Vegas NV 89119-5191 |
| Mailing Address |
1653 D St Las Vegas NV 89106-2701 |
| Practice Telephone | 7252227203 |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2018-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447418611 | Amanda Hyatt Haley | Massage Therapist | 500 S Cypress Rd # 4, Pompano Beach, FL 33060-7141 | 2008-05-24 |
| 1154970416 | Amanda Haley | Rehabilitation Practitioner | 988 N Illinois Route 3, Waterloo, IL 62298-1059 | 2019-09-10 |
| 1447473327 | Amanda F Haley | Internal Medicine | 1301 Punchbowl St, Honolulu, HI 96813-2402 | 2007-04-10 |
| Street Address |
2110 E FLAMINGO RD STE 110 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-5191 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366942799 | Jaquesha Thompson | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2018-02-12 |
| 1073120697 | Kenisha Anderson | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-09-28 |
| 1023624426 | Elijah Stanfield | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-09-21 |
| 1033737036 | Helen Dews | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-07-07 |
| 1467075556 | Ashley Y Russell | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-05-22 |
| 1497376099 | Amrapali Ghosh | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-05-05 |
| 1558980243 | Tameka Shante Mcdowell | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-04-13 |
| 1679192306 | Roma De La Caridad Cruz | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-04-13 |
| 1932728011 | Margaret Richard | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-04-09 |
| 1679101919 | Yulanda Hodge | Technician | 2110 E Flamingo Rd Ste 110, Las Vegas, NV 89119-5191 | 2020-03-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| 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.