DESERT MEDICAL REHAB LLC (NPI# 1790095586) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790095586 |
| Entity Type | Organization |
| Organization Name | DESERT MEDICAL REHAB LLC |
| Practice Address |
3555 W Reno Ave Suite F Las Vegas NV 89118-1609 |
| Practice Telephone | 7028769171 |
| Practice Fax Number | 7028769083 |
| Mailing Telephone | 7028769171 |
| Mailing Fax Number | 7028769083 |
| Enumeration Date | 2010-10-14 |
| Last Update Date | 2014-07-09 |
| Authorized Official Name | BRYAN SCHULTZ (PRESIDENT) |
| Authorized Official Telephone | 7028769171 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
20131609510 | NV | Suppliers |
| Street Address |
3555 W RENO AVE SUITE F |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89118-1609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083736755 | Theresa Lee Peacock | Nurse Practitioner | 3555 W Reno Ave, Suite F, Las Vegas, NV 89118-1609 | 2007-04-04 |
| 1265741029 | Cindy Jo Bushell | Speech-Language Pathologist | 3555 W Reno Ave, Suite F, Las Vegas, NV 89118-1609 | 2010-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720568520 | Kurt Yaross | Behavioral Analyst | 7138 W Post Rd, #208, Las Vegas, NV 89118 | 2018-08-21 |
| 1619457108 | Michelle Herzberg | Behavioral Analyst | 7318 W Post Rd #280, Las Vegas, NV 89118 | 2018-08-15 |
| 1548749385 | Keisha Bere-ruiz | Behavioral Analyst | 7318 W Post Rd #208, Las Vegas, NV 89118 | 2018-08-13 |
| 1295222081 | Aliantcare | Radiologic Technologist | 5490 S Rainbow Blvd, Suite 400 N34835, Las Vegas, NV 89118 | 2018-04-17 |
| 1710406467 | Anoush H. Tacvorian Do LLC | Clinic/Center | 6525 W. Warm Springs Rd, Suite 100, Las Vegas, NV 89118 | 2017-09-13 |
| 1962920470 | Harvard Medtech, LLC | Durable Medical Equipment & Medical Supplies | 6280 S. Valley View Blvd, Suite 412, Las Vegas, NV 89118 | 2017-09-05 |
| 1750827903 | Kerry Cutler | Nurse Practitioner | 6020 South Rainbow Blvd, Suite C, Las Vegas, NV 89118 | 2017-01-12 |
| 1184173015 | Girisgen & Kopolow Od PC | Optometrist | 7090 S Rainbow Blvd, Ste 100, Las Veegas, NV 89118 | 2016-10-04 |
| 1396117859 | Foundation for Positively Kids | Clinic/Center | 3555 E Reno, Ste F, Las Vegas, NV 89118 | 2015-10-23 |
| 1720492663 | Kiet Michael Lam | Chiropractor | 5693 S. Jones Bvld, Ste 116, Las Vegas, NV 89118 | 2014-06-18 |
| Find all providers in zip 89118 | ||||
| Taxonomy Code | 332BC3200X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| Specialization | Customized Equipment |
| Definition to come... |
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| 1013514884 | Flourish Virgin Hair LLC | Durable Medical Equipment & Medical Supplies | 8241 S Fort Apache Rd # 106, Las Vegas, NV 89178-3235 | 2020-10-05 |
| 1104456557 | Beauti' Den | Durable Medical Equipment & Medical Supplies | 9708 Gilespie St Ste 114, Las Vegas, NV 89183-7614 | 2020-01-23 |
| 1174094163 | Rider Mobility Inc. | Durable Medical Equipment & Medical Supplies | 7320 Smoke Ranch Rd Ste G, Las Vegas, NV 89128-0259 | 2018-12-17 |
| 1215426754 | Trumobility Inc. | Durable Medical Equipment & Medical Supplies | 3100 E Charleston Blvd Ste 103, Las Vegas, NV 89104-6666 | 2018-05-09 |
| 1275927550 | Care Giver Support Products, LLC | Durable Medical Equipment & Medical Supplies | 723 S Casino Center Blvd, Floor 2, Las Vegas, NV 89101-6716 | 2015-03-24 |
| 1386071397 | Ksm Corporate Holdings LLC | Durable Medical Equipment & Medical Supplies | 9430 W Lake Mead Blvd, Suite 3, Las Vegas, NV 89134-8338 | 2013-10-04 |
| 1760817829 | Premier Sleep Las Vegas, LLC | Durable Medical Equipment & Medical Supplies | 5031 Wagon Trail Ave, Suite 110, Las Vegas, NV 89118-2854 | 2013-09-09 |
| 1497196943 | Diana E Walker | Durable Medical Equipment & Medical Supplies | 6595 Smoke Ranch Rd Ste 125, Las Vegas, NV 89108-7375 | 2013-07-12 |
| 1316297211 | On-time Medical Supply LLC | Durable Medical Equipment & Medical Supplies | 3333 S Maryland Pkwy, Suite #2, Las Vegas, NV 89169-3098 | 2012-09-18 |
| 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.