ALICE M PRUDHOMME (NPI# 1295360626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295360626 |
| Entity Type | Individual |
| Full Name | ALICE M PRUDHOMME |
| Practice Address |
8871 W Flamingo Rd Ste 202 Las Vegas NV 89147-8729 |
| Practice Telephone | 7028521477 |
| Mailing Telephone | 7028521477 |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
8871 W FLAMINGO RD STE 202 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89147-8729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255641460 | Ocean Home Health Care Services, Inc. | Custodial Care Facility | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2010-10-21 |
| 1497352512 | Kozumi Annette Schultz | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-10-01 |
| 1114533569 | Da'sha D Brual | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-09-21 |
| 1144833476 | Sarita L Roberson | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-08-26 |
| 1053929984 | Stephanie Castellon | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-07-16 |
| 1972127603 | Brenette Maureen Suarez Joule | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-05-28 |
| 1851911614 | Faye Sandra Russell | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-04-22 |
| 1770117004 | Karlee Merrick | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-02-25 |
| 1568092609 | Nina Wright | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2020-01-16 |
| 1598303539 | Shireen Childress | Technician | 8871 W Flamingo Rd Ste 202, Las Vegas, NV 89147-8729 | 2019-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619593621 | Ata Group Lv | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 10170 W Tropicana Ave Ste 156-211, Las Vegas, NV 89147 | 2020-06-25 |
| 1104474022 | Jacklyn Siagatonu | Behavior Technician | 7125 Grand Montecito Parkway, Las Vegas Nv, N Las Vegas, NV 89147 | 2019-09-04 |
| 1700388253 | Pr Acquisition Corporation | Clinic/Center | 9892 W Flamingo Road, Las Vegas, NV 89147 | 2018-03-01 |
| 1629578836 | Jonathan Balagot Dizon | Optometrist | 4160 S Durango Dr, Las Vegas, NV 89147 | 2018-02-14 |
| 1346751526 | Ignite Teen Treatment, LLC | Clinic/Center | 3722 Lone Mesa Dr, Las Vegas, NV 89147 | 2017-10-16 |
| 1306365275 | Diversified Behavioral Health Services LLC | Community/Behavioral Health | 9636 W.cherokee Ave, Las Vegas, NV 89147 | 2017-09-12 |
| 1356874713 | A8a Personal Care Solution LLC | In Home Supportive Care | 8879 West Flamingo, Ste 101, Las Vegas, NV 89147 | 2017-04-04 |
| 1154782191 | Ma Leah Roble Maravillas | Behavioral Analyst | 9999 W Katie Ave Suite 1313, Las Vegas, NV 89147 | 2016-03-18 |
| 1285010959 | Samantha Lauren Pope | Specialist | 9353 W. Twain Ave, Apt 113, Las Vegas, NV 89147 | 2015-08-05 |
| 1215311980 | Daniel Dorado | Marriage & Family Therapist | 9848 Gallo Dr, Las Vegas, NV 89147 | 2015-07-13 |
| Find all providers in zip 89147 | ||||
| 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.