EQUAL HOUSING OPPORTUNITY INC (NPI# 1104161355) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104161355 |
| Entity Type | Organization |
| Organization Name | EQUAL HOUSING OPPORTUNITY INC |
| Practice Address |
1264 Moon Vision St Henderson NV 89052-4007 |
| Practice Telephone | 7024911265 |
| Practice Fax Number | 7024538874 |
| Mailing Telephone | 7024911265 |
| Mailing Fax Number | 7024538874 |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |
| Authorized Official Name | MRS. CONNIE LINNETTE HARRIS (PRESIDENT) |
| Authorized Official Telephone | 7024911265 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305S00000X | Point of Service | NV | Managed Care Organizations | |
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
NV | Respite Care Facility |
| Street Address |
1264 MOON VISION ST |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841650231 | James Larocca | Respite Care | 172 Mount Earl Ave, Henderson, NV 89012-5703 | 2016-02-29 |
| 1730485293 | Matthew Aaron Graham | Respite Care | 1710 Sky Mountain Way, Henderson, NV 89014-6013 | 2011-02-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644127 | New Vista Ranch Inc | Respite Care | 5220 W Charleston Blvd, Las Vegas, NV 89146-1345 | 2016-04-22 |
| 1962864439 | Dungarvin Nevada, LLC - Las Vegas | Respite Care | 3325 W Craig Rd Ste A, North Las Vegas, NV 89032-5002 | 2016-03-24 |
| 1184084477 | Jacqueline Borges | Respite Care | 10350 Thomas Creek Rd, Reno, NV 89511-5449 | 2016-02-29 |
| 1932569548 | Karen Reynolds | Respite Care | 995 Turnberry Dr, Sparks, NV 89436-0884 | 2016-02-25 |
| 1972976702 | Dungarvin Nevada, LLC - Reno | Respite Care | 1325 Airmotive Way Ste 325, Reno, NV 89502-3289 | 2015-11-02 |
| 1912539032 | Kathleen Ann Andrade | Respite Care | 5575 S Durango Dr, Las Vegas, NV 89113-1833 | 2020-02-06 |
| 1598126443 | Nv St Dv Mh/ds Rural Regional Center | Respite Care | 605 S 21st St, Sparks, NV 89431-8100 | 2016-03-18 |
| 1548621543 | Nv St Dv Mh/ds Rural Regional Center | Respite Care | 605 S 21st St, Sparks, NV 89431-8100 | 2016-03-18 |
| 1144681909 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| 1780045542 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
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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.