ANGELINA GARCILAZO GOMEZ (NPI# 1821591165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821591165 |
| Entity Type | Individual |
| Full Name | ANGELINA GARCILAZO GOMEZ |
| Practice Address |
3101 W Charleston Blvd Las Vegas NV 89102-1931 |
| Mailing Address |
4715 San Leandro Ave Las Vegas NV 89120-1751 |
| Practice Telephone | 7028392060 |
| Mailing Telephone | 7022727099 |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-03-13 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 03155618 | NV | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760030407 | Angelina F Gomez | Student in an Organized Health Care Education/Training Program | 16 Blossom St, Mgh West End Clinic, Boston, MA 02114-3104 | 2019-08-27 |
| Street Address |
3101 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427551712 | Debra Shaughnessy | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-03-13 |
| 1992304869 | Kaitlyn Kirby | Occupational Therapist | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2020-10-22 |
| 1083221170 | Rebecca Faith Clements | Behavior Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2020-09-23 |
| 1881201978 | Felesia Wade | Behavior Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2020-09-23 |
| 1215540778 | Sarina Patel | Speech-Language Pathologist | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2020-08-25 |
| 1265064463 | Alliance Therapies, Pllc | Behavioral Analyst | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2020-02-06 |
| 1073001277 | Ladonna L Lowery | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-04-24 |
| 1033606850 | Bradford Paul Clements | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-04-17 |
| 1518463116 | Richard Lee Johnson Sr. | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-04-03 |
| 1255837738 | Robin Rhodeos | Technician | 3101 W Charleston Blvd, Las Vegas, NV 89102-1931 | 2018-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184223521 | Healing Hearts Healthcare LLC | In Home Supportive Care | 6787 W Tropicana Ave Ste 249, Las Vegas, NV 89103-4759 | 2020-10-17 |
| 1205442597 | Prosperity Homecare Services, LLC | In Home Supportive Care | 3232 N Campbell Rd, Las Vegas, NV 89129-6165 | 2020-09-22 |
| 1376157495 | Oath Healthcare LLC | In Home Supportive Care | 4547 Dover Straight St, Las Vegas, NV 89115-2109 | 2020-09-04 |
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1164033585 | Devonee's Heart & Soul Healthcare LLC | In Home Supportive Care | 5000 W Oakey Blvd Ste A3-4, Las Vegas, NV 89146-0391 | 2020-08-10 |
| 1154946515 | My Joy Home Care Agency | In Home Supportive Care | 3936 Ruskin St, Las Vegas, NV 89147-6557 | 2020-06-11 |
| 1114541539 | Spahr Personal Care LLC. | In Home Supportive Care | 9108 Little Horse Ave, Las Vegas, NV 89143-5425 | 2020-06-01 |
| 1376167924 | Compassionate Hands LLC | In Home Supportive Care | 7811 Stroh Ln, Las Vegas, NV 89178-8275 | 2020-05-29 |
| 1457972713 | Philippe Casciola | In Home Supportive Care | 3215 Cheltenham St, Las Vegas, NV 89129-7220 | 2020-04-28 |
| 1982225371 | Freedom Care Nv LLC | In Home Supportive Care | 3960 Howard Hughes Pkwy Ste 224, Las Vegas, NV 89169-5972 | 2020-04-27 |
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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.