ERIC MOFFETT (NPI# 1265070726) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265070726 |
| Entity Type | Individual |
| Full Name | ERIC MOFFETT |
| Practice Address |
4080 E Lake Mead Blvd Ste B-111 Las Vegas NV 89115-6466 |
| Practice Telephone | 7026298226 |
| Mailing Telephone | 7026298226 |
| Enumeration Date | 2019-12-16 |
| Last Update Date | 2019-12-16 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 7026298226 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275875718 | Eric Moffett | Podiatrist | 171 N Main St, Suffolk, VA 23434-4507 | 2013-03-22 |
| Street Address |
4080 E LAKE MEAD BLVD STE B-111 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89115-6466 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447804414 | Antionette Brown | Technician | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2019-07-29 |
| 1649877150 | Trayvion Gatlin | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-10-07 |
| 1194330183 | Jessica Vivier | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-09-15 |
| 1609481605 | Melony Flowers | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-09-15 |
| 1366050148 | Derrick Nelson | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-07-17 |
| 1447876818 | Antoinette Butler | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-06-22 |
| 1710506621 | Jasmine Emery | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-04-10 |
| 1376162388 | Deiadra Hines | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-04-09 |
| 1699302315 | Angelina Rotta | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-03-24 |
| 1922633247 | Janet Benjamin-yoshino | In Home Supportive Care | 4080 E Lake Mead Blvd Ste B-111, Las Vegas, NV 89115-6466 | 2020-03-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1316555097 | Alma Liz Cuello Gonzalez | Technician | 3735 Gulliver St, Las Vegas, NV 89115 | 2020-07-17 |
| 1689214397 | Reginald Powers | Technician | 3817 N Nellis Blvd, Apt 218, Las Vegas, NV 89115 | 2020-01-10 |
| 1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
| 1982249801 | Limitless Behavioral Services Health LLC | Community/Behavioral Health | 4370 E Craig Rd, Apt 2123, Las Vegas, NV 89115 | 2019-11-14 |
| 1033751102 | Patricia Rangel | Technician | 3125 North Pecos Rd Apt #112, Las Vegas, NV 89115 | 2019-10-10 |
| 1003388471 | Nikera Island | Technician | 9564 Nellis Blvd, Las Vegas, NV 89115 | 2018-12-26 |
| 1295218519 | Craig Duerson | Behavioral Analyst | 3624 Elegant Saint Ct, Las Vegas, NV 89115 | 2018-09-12 |
| 1043719750 | Mary Bernadette Mitchell | Technician | 3715 Hayward Field Rd, Las Vegas, NV 89115 | 2018-02-08 |
| 1689190563 | Brian D Rentie Jr. | Behavior Technician | 4730 E. Craig Rd #2160, Las Vegas, NV 89115 | 2017-08-22 |
| Find all providers in zip 89115 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223521 | Healing Hearts Healthcare LLC | In Home Supportive Care | 6787 W Tropicana Ave Ste 249, Las Vegas, NV 89103-4759 | 2020-10-17 |
| 1205442597 | Prosperity Homecare Services, LLC | In Home Supportive Care | 3232 N Campbell Rd, Las Vegas, NV 89129-6165 | 2020-09-22 |
| 1376157495 | Oath Healthcare LLC | In Home Supportive Care | 4547 Dover Straight St, Las Vegas, NV 89115-2109 | 2020-09-04 |
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1164033585 | Devonee's Heart & Soul Healthcare LLC | In Home Supportive Care | 5000 W Oakey Blvd Ste A3-4, Las Vegas, NV 89146-0391 | 2020-08-10 |
| 1154946515 | My Joy Home Care Agency | In Home Supportive Care | 3936 Ruskin St, Las Vegas, NV 89147-6557 | 2020-06-11 |
| 1114541539 | Spahr Personal Care LLC. | In Home Supportive Care | 9108 Little Horse Ave, Las Vegas, NV 89143-5425 | 2020-06-01 |
| 1376167924 | Compassionate Hands LLC | In Home Supportive Care | 7811 Stroh Ln, Las Vegas, NV 89178-8275 | 2020-05-29 |
| 1457972713 | Philippe Casciola | In Home Supportive Care | 3215 Cheltenham St, Las Vegas, NV 89129-7220 | 2020-04-28 |
| 1982225371 | Freedom Care Nv LLC | In Home Supportive Care | 3960 Howard Hughes Pkwy Ste 224, Las Vegas, NV 89169-5972 | 2020-04-27 |
| 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.