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).
| 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 |
| 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 |
| Street Address |
2021 S JONES BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-3137 |
| 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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| 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 Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
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| 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 |
| 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.