SEA BREEZE WELLNESS CENTER LTD


Address: 2021 S Jones Blvd, Las Vegas, NV 89146-3137
Phone: 7022020099

SEA BREEZE WELLNESS CENTER LTD (NPI# 1366820961) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1366820961
Entity Type Organization
Organization Name SEA BREEZE WELLNESS CENTER LTD
Practice Address 2021 S Jones Blvd
Las Vegas
NV 89146-3137
Practice Telephone 7022020099
Practice Fax Number 7027787632
Mailing Telephone 7022020099
Mailing Fax Number 7027787632
Enumeration Date 2015-05-14
Last Update Date 2015-05-26
Authorized Official Name DR. MATTHEW O OKEKE (PRESIDENT)
Authorized Official Telephone 7022020099
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QR0401X Clinic/Center
Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)
20150212685-92 NV Ambulatory Health Care Facilities

Office Location

Street Address 2021 S JONES BLVD
City LAS VEGAS
State NV
Zip Code 89146-3137

Providers in the same location

NPI Name Taxonomy Address Enumeration
1134139884 Victor Bruce Internal Medicine 2021 S Jones Blvd, Las Vegas, NV 89146 2006-08-08
1346849908 Lawren Meshell Perry Registered Nurse 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2020-10-23
1194387886 Andrea Irene Petty Nurse Practitioner 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2019-07-02
1003395096 Brightstar Urgent Care Clinic/Center 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2018-08-09
1750887113 Kelly Figueroa Behavior Technician 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2018-04-04
1184149254 Inez Watson Counselor 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2017-08-09
1558894402 Kristina May Dunn Counselor 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2017-04-07
1114465192 Matthew Okeke, M.d. Ltd Counselor 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2017-02-09
1821540725 Erinn Michelae Robles Behavior Technician 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2016-10-26
1962952952 Grand Desert Psychiatric Svc Counselor 2021 S Jones Blvd, Las Vegas, NV 89146-3137 2016-10-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1821607193 State of Nevada Community/Behavioral Health 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 2020-07-23
1730726597 Jenna Leigh White Occupational Therapist 2012 S Jones Blvd., Las Vegas, NV 89146 2019-11-28
1649828898 Rocio Ferat Chore Provider 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 2019-08-30
1912554007 Juan Zamora Chore Provider 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 2019-08-22
1407402530 Elia Rocio Vargas-sifuentes Chore Provider 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 2019-08-14
1740834050 Zi Wang Physician Assistant 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 2019-07-25
1871145565 Virginia Lopez Lopez Chore Provider 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 2019-07-12
1962054726 Nona Sixta Q Baldonado Technician 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 2019-07-11
1326600701 Thelma Moreno Cerros Chore Provider 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 2019-07-05
1992367866 Carolina Perez Chore Provider 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 2019-07-01
Find all providers in zip 89146

Taxonomy Information

Taxonomy Code 261QR0401X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1902428402 New Beginnings Family Services LLC Clinic/Center 900 S Valley View Blvd, Las Vegas, NV 89107-4404 2020-05-07
1457984486 Injury Care Rehab Center Clinic/Center 6130 W Sahara Ave, Las Vegas, NV 89146-3051 2020-02-18
1396257390 Therapros LLC Clinic/Center 4850 W Flamingo Rd Ste 25, Las Vegas, NV 89103-3707 2017-10-30
1588104970 Harp Las Vegas Clinic/Center 8665 S Eastern Ave Ste 101, Las Vegas, NV 89123-2802 2017-03-03
1447257456 Spring Mountain Rehab, LLC Clinic/Center 7375 Prairie Falcon Road, Ste. 120, Las Vegas, NV 89128 2005-07-05
1366068512 Emily Routh Clinic/Center 900 S Valley View Blvd Ste 195, Las Vegas, NV 89107-4430 2020-06-23
1346866696 Maurice Frazier Clinic/Center 900 S Valley View Blvd Ste 195, Las Vegas, NV 89107-4430 2020-06-23
1255957502 Marlon Anderson Clinic/Center 900 S Valley View Blvd Ste 195, Las Vegas, NV 89107-4430 2020-06-23
1659997013 Tafari Walston Clinic/Center 900 S Valley View Blvd Ste 195, Las Vegas, NV 89107-4430 2020-06-22
1063038347 Olivia Grant Clinic/Center 900 S Valley View Blvd Ste 195, Las Vegas, NV 89107-4430 2020-06-22
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Competitor

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City LAS VEGAS
Zip Code 89146

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Dataset Information

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.

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