NELLIS HOME HEALTH (NPI# 1366977696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366977696 |
| Entity Type | Organization |
| Organization Name | NELLIS HOME HEALTH |
| Practice Address |
455 E Twain Ave # 103 Las Vegas NV 89169-4928 |
| Practice Telephone | 7024011121 |
| Practice Fax Number | 7027332897 |
| Mailing Telephone | 7024011121 |
| Mailing Fax Number | 7027332897 |
| Enumeration Date | 2017-04-24 |
| Last Update Date | 2017-04-24 |
| Authorized Official Name | MS. ROSEANNE WRIGHT JONES (PRESIDENT/OWNER) |
| Authorized Official Telephone | 7024011121 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251300000X | Local Education Agency (LEA) | E0308632016-8 | NV | Agencies |
| N | 251C00000X | Day Training, Developmentally Disabled Services | E0308632016-8 | NV | Agencies |
| N | 251E00000X | Home Health | E0308632016-8 | NV | Agencies |
| N | 251G00000X | Hospice Care, Community Based | E0308632016-8 | NV | Agencies |
| N | 251K00000X | Public Health or Welfare | E0308632016-8 | NV | Agencies |
| N | 251T00000X | PACE Provider Organization | E030863201 | NV | Agencies |
| N | 251V00000X | Voluntary or Charitable | E0308632016-8 | NV | Agencies |
| N | 252Y00000X | Early Intervention Provider Agency | E030863201 | NV | Agencies |
| N | 253J00000X | Foster Care Agency | E0308632016-8 | NV | Agencies |
| N | 253Z00000X | In Home Supportive Care | E0308632016-8 | NV | Agencies |
| N | 283X00000X | Rehabilitation Hospital | E030863201 | NV | Hospitals |
| N | 2865X1600X |
Military Hospital Specialization: Military General Acute Care Hospital. Operational (Transportable) |
E030863201 | NV | Hospitals |
| N | 302R00000X | Health Maintenance Organization | E030863201 | NV | Managed Care Organizations |
| N | 347C00000X | Private Vehicle | E030863201 | NV | Transportation Services |
| Y | 171M00000X | Case Manager/Care Coordinator | E030863201 | NV | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248573 | Nellis Home Health | Lodging | 455 E Twain Ave # 103, Las Vegas, NV 89169-4928 | 2017-11-09 |
| Street Address |
455 E TWAIN AVE # 103 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-4928 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295248573 | Nellis Home Health | Lodging | 455 E Twain Ave # 103, Las Vegas, NV 89169-4928 | 2017-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| Find all providers in zip 89169 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350773 | Guiselle Maria Alvarez-delarosa | Case Manager/Care Coordinator | 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 | 2020-09-11 |
| 1477163467 | Chanel M. King | Case Manager/Care Coordinator | 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 | 2020-08-04 |
| 1912517251 | Jeffrey Hoge | Case Manager/Care Coordinator | 6644 Beacon Rd, Las Vegas, NV 89108-5390 | 2020-08-02 |
| 1992331698 | Angela E Oesterle | Case Manager/Care Coordinator | 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 | 2020-03-13 |
| 1336774330 | Taizha Howard | Case Manager/Care Coordinator | 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 | 2020-03-10 |
| 1043858863 | Stephanie Marie Sifuentes-smith | Case Manager/Care Coordinator | 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 | 2019-12-11 |
| 1932741022 | Deidre Fawn Cleaver | Case Manager/Care Coordinator | 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 | 2019-10-10 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1770132797 | Anna Rose Andrews | Case Manager/Care Coordinator | 3436 Wasatch Cedars St, Las Vegas, NV 89122-3574 | 2019-09-11 |
| 1952954018 | Denise Ratliff | Case Manager/Care Coordinator | 4937 Dunkirk Ave, Las Vegas, NV 89121-7042 | 2019-07-18 |
| 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.