MARTELL HICKS (NPI# 1407453996) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407453996 |
| Entity Type | Individual |
| Full Name | MARTELL HICKS |
| Practice Address |
1251 S Bunch St Pahrump NV 89048-5453 |
| Practice Telephone | 3107033536 |
| Mailing Telephone | 3107033536 |
| Enumeration Date | 2020-10-07 |
| Last Update Date | 2020-10-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | NV | Nursing Service Related Providers | |
| N | 372600000X | Adult Companion | NV | Nursing Service Related Providers | |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
NV | Nursing Service Related Providers | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NV | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | NV | Nursing Service Related Providers |
| Street Address |
1251 S BUNCH ST |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| 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 |
|---|---|---|---|---|
| 1730794058 | Connie Barajas | Technician | 4951 Money St, Pahrump, NV 89048-6896 | 2020-09-14 |
| 1477168623 | Joy Hannah | Technician | 2831 E Dandelion St Apt 7, Pahrump, NV 89048-6547 | 2020-09-14 |
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1023667532 | Mariah Nicole Harvey | Technician | 1221 Carberry Ln, Pahrump, NV 89048-6867 | 2019-09-06 |
| 1114579901 | Carla Hill | Technician | 1321 South Hwy 160, Ste. 10b, Pahrump, NV 89048-8904 | 2019-07-11 |
| 1629635461 | Michelle Lynn Brendgard | Technician | 1321 South Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-05-28 |
| 1013486356 | Lori-lynne Cruz | Technician | 1321 S Highway 160 Ste 10b, Pahrump, NV 89048-4763 | 2018-11-15 |
| 1497220024 | Phyllis K Schoonover | Technician | 7390 Quarter Horse Ave, Pahrump, NV 89061-8656 | 2018-10-10 |
| 1396226726 | Maria Ruivo | Technician | 4030 E Comanche Dr, Pahrump, NV 89061 | 2018-08-23 |
| Find all providers in PAHRUMP | ||||
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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.