SENIOR SERVICES PERSONAL CARE LLC (NPI# 1104374560) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104374560 |
| Entity Type | Organization |
| Organization Name | SENIOR SERVICES PERSONAL CARE LLC |
| Practice Address |
336 S Jones Blvd Ste B Las Vegas NV 89107-2623 |
| Practice Telephone | 7029537910 |
| Practice Fax Number | 7029532250 |
| Mailing Telephone | 7029537910 |
| Mailing Fax Number | 7029532250 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | ANGEL SALVADOR CARRILLO (MANAGER) |
| Authorized Official Telephone | 7029537910 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 8627-PCS-0 | NV | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770028706 | Senior Services Personal Care LLC | Respite Care | 336 S Jones Blvd, Suite B, Las Vegas, NV 89107-2623 | 2016-12-29 |
| Street Address |
336 S JONES BLVD STE B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2623 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528686847 | Teresa Sanchez | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2020-07-13 |
| 1598382947 | Samuel Carl Green | Home Health Aide | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2020-07-01 |
| 1508494790 | Virginia Corral Estrada | Religious Nonmedical Nursing Personnel | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2020-04-01 |
| 1881224558 | Gabriel Mejia Barrera | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2020-01-22 |
| 1689215691 | Ana Lilia Corral Estrada | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2019-10-01 |
| 1508417718 | Marcelina Rodriguez | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2019-09-28 |
| 1417508698 | Emely Sanchez | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2019-09-27 |
| 1821646662 | Jamar Lydrell Holman | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2019-08-26 |
| 1710534664 | Marcial F. Quiros Rodriguez | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2019-08-23 |
| 1073169934 | Fausto David Sotelo Chavez | Technician | 336 S Jones Blvd Ste B, Las Vegas, NV 89107-2623 | 2019-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| 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.