DUNGARVIN NEVADA, LLC - LAS VEGAS (NPI# 1962864439) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962864439 |
| Entity Type | Organization |
| Organization Name | DUNGARVIN NEVADA, LLC - LAS VEGAS |
| Practice Address |
3325 W Craig Rd Ste A North Las Vegas NV 89032-5002 |
| Mailing Address |
1444 Northland Dr Ste 200 Mendota Heights MN 55120-1032 |
| Practice Telephone | 7022222243 |
| Practice Fax Number | 7022220174 |
| Mailing Telephone | 6516990206 |
| Mailing Fax Number | 6516990799 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2018-05-08 |
| Authorized Official Name | TIM MADDEN (CEO) |
| Authorized Official Telephone | 6516990206 |
| Is Organization Subpart | Y |
| Parent Organization Name | DUNGARVIN GROUP, INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385HR2060X |
Respite Care Specialization: Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
NV | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 9005047616 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245567981 | Dungarvin Nevada, LLC - Las Vegas | In Home Supportive Care | 3325 W Craig Rd, Suite A, North Las Vegas, NV 89032-5004 | 2009-11-17 |
| Street Address |
3325 W CRAIG RD STE A |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032-5002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 385HR2060X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Specialization | Respite Care, Mental Retardation and/or Developmental Disabilities, Child |
| A facility or distinct part of a facility that provides short term, residential care to children, diagnosed with mental retardation and/or developmental disabilities as respite for the regular caregivers. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841644127 | New Vista Ranch Inc | Respite Care | 5220 W Charleston Blvd, Las Vegas, NV 89146-1345 | 2016-04-22 |
| 1841650231 | James Larocca | Respite Care | 172 Mount Earl Ave, Henderson, NV 89012-5703 | 2016-02-29 |
| 1184084477 | Jacqueline Borges | Respite Care | 10350 Thomas Creek Rd, Reno, NV 89511-5449 | 2016-02-29 |
| 1932569548 | Karen Reynolds | Respite Care | 995 Turnberry Dr, Sparks, NV 89436-0884 | 2016-02-25 |
| 1972976702 | Dungarvin Nevada, LLC - Reno | Respite Care | 1325 Airmotive Way Ste 325, Reno, NV 89502-3289 | 2015-11-02 |
| 1730485293 | Matthew Aaron Graham | Respite Care | 1710 Sky Mountain Way, Henderson, NV 89014-6013 | 2011-02-01 |
| 1912539032 | Kathleen Ann Andrade | Respite Care | 5575 S Durango Dr, Las Vegas, NV 89113-1833 | 2020-02-06 |
| 1598126443 | Nv St Dv Mh/ds Rural Regional Center | Respite Care | 605 S 21st St, Sparks, NV 89431-8100 | 2016-03-18 |
| 1548621543 | Nv St Dv Mh/ds Rural Regional Center | Respite Care | 605 S 21st St, Sparks, NV 89431-8100 | 2016-03-18 |
| 1144681909 | Nv St Dv Mh Ds Desert Dev Center | Respite Care | 1391 S Jones Blvd, Las Vegas, NV 89146-1200 | 2016-03-08 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on DUNGARVIN NEVADA, LLC - LAS VEGAS.
| 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.