SHERRY CLARK (NPI# 1750862744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750862744 |
| Entity Type | Individual |
| Full Name | SHERRY CLARK |
| Practice Address |
160 E Horizon Dr Ste A Henderson NV 89015-7934 |
| Mailing Address |
9578 Greensburg Ave Las Vegas NV 89178-3220 |
| Practice Telephone | 7026443600 |
| Practice Fax Number | 7027195665 |
| Mailing Telephone | 5623380096 |
| Enumeration Date | 2018-08-27 |
| Last Update Date | 2018-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346620259 | Sherry Clark | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 7030 Capella Park Ave, Dallas, TX 75236-3003 | 2015-06-05 |
| 1275131344 | Sherry Clark | Physical Medicine & Rehabilitation | 2395 Wall St Se Ste 176, Conyers, GA 30013-6703 | 2020-10-12 |
| 1730649930 | Sherry Marie Clark | Behavior Technician | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-03-22 |
| 1992277529 | Sherry Clark | Counselor | 214 Bush River Dr, Farmville, VA 23901-3179 | 2018-12-20 |
| 1952675209 | Sherry L. Clark | Nurse Practitioner | 2703 Henry St, Greensboro, NC 27405-3669 | 2012-03-05 |
| 1467698217 | Sherry Clark | Respiratory Therapist, Certified | 500 E Veterans St, Tomah, WI 54660-3105 | 2008-12-29 |
| Street Address |
160 E HORIZON DR STE A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015-7934 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154492320 | Ptv1, Inc. | In Home Supportive Care | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2006-11-10 |
| 1912568882 | Oralva Colon | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-21 |
| 1346800711 | Ma Corazon Cabrera | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-18 |
| 1548829856 | April Aguilera | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-10 |
| 1225697725 | Joseph Mercado | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-07 |
| 1457910135 | Lyn Chagaris-taylor | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-06 |
| 1457919284 | Hasani Pitre | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-05 |
| 1114585106 | Gladys Samper Mazo | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-06-04 |
| 1841756715 | Theresa Beasley | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-02-15 |
| 1154886943 | Amber Peralta | Chore Provider | 160 E Horizon Dr Ste A, Henderson, NV 89015-7934 | 2019-02-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1124528963 | Edson Jeam Arredondo | Chore Provider | 160 E Horison Dr Ste A, Henderson, NV 89015 | 2018-02-19 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| Find all providers in zip 89015 | ||||
| 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 |
|---|---|---|---|---|
| 1396343109 | Stephanie Nicole Baird | Technician | 11073 Crab Creek Rd, Henderson, WV 25106-9732 | 2020-10-14 |
| 1134726953 | Susan Warmuth | Technician | 584 Sellers Pl, Henderson, NV 89011-5373 | 2020-10-05 |
| 1093312894 | Triscion Watkins | Technician | 111 W Victory Rd, Henderson, NV 89015-7022 | 2020-10-05 |
| 1346847167 | Maximillian Crawford | Technician | 2577 Woodson Ave, Henderson, NV 89052-6489 | 2020-10-05 |
| 1932706736 | Madonna Abad | Technician | 3618 Via Messina, Henderson, NV 89052-1504 | 2020-10-05 |
| 1801401476 | Martin Flores | Technician | 916 Serpent Rose Ct, Henderson, NV 89052-8657 | 2020-09-10 |
| 1578177655 | Vanquisha L Mckie | Technician | 1030 Center St Apt 3i, Henderson, NV 89015-6301 | 2020-09-04 |
| 1225642739 | Roger Anthony | Technician | 227 W Pacific Ave, Henderson, NV 89015-7378 | 2020-09-02 |
| 1053925578 | Andrea Day | Technician | 301 Taylor St Apt 1624, Henderson, NV 89015-5429 | 2020-09-02 |
| 1366056897 | Alicia Vinculado | Technician | 2570 W Horizon Ridge Pkwy, Henderson, NV 89052-5618 | 2020-09-02 |
| Find all providers in HENDERSON | ||||
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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.