LARRY LA VAUGHN MOORE (NPI# 1013517150) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013517150 |
| Entity Type | Individual |
| Full Name | LARRY LA VAUGHN MOORE |
| Practice Address |
1711 E Desert Inn Rd Las Vegas NV 89169-3201 |
| Practice Telephone | 7028391088 |
| Practice Fax Number | 7026502800 |
| Mailing Telephone | 7028391088 |
| Mailing Fax Number | 7026502800 |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NV | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811464522 | Larry Moore | Adult Companion | 620 N Church St Apt 1603, Charlotte, NC 28202-3299 | 2018-10-31 |
| 1396915211 | Larry Moore | Pharmacy Technician | 1060 Wood Stream Dr, Grand Prairie, TX 75052-8837 | 2008-03-06 |
| 1730658196 | Larry Gene Moore | Case Manager/Care Coordinator | 735 North Dr, Hopkinsville, KY 42240-2620 | 2018-11-15 |
| 1558609032 | Larry Moore | Counselor | 1233 State Rd, Plymouth, MA 02360-5133 | 2013-01-18 |
| 1891899308 | Larry Eugene Moore | Nurse Anesthetist, Certified Registered | 230 Hospital Plaza, Weston, WV 26452-8558 | 2006-09-13 |
| 1326097494 | Larry Alan Moore | Emergency Medicine | 3205 N Academy Blvd, Suite 160, Colorado Springs, CO 80917-5101 | 2006-05-08 |
| 1992773022 | Larry J. Moore | Dentist | 4200 Chino Hills Pkwy, #805, Chino Hills, CA 91709-3776 | 2006-03-14 |
| 1770553174 | Larry C Moore | Internal Medicine | 5308 North Galloway Ave, Suite 100, Mesquite, TX 75150 | 2006-01-26 |
| Street Address |
1711 E DESERT INN RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89169-3201 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447718796 | Hope Industries LLC | Chore Provider | 1711 E Desert Inn Rd, Las Vegas, NV 89169 | 2019-03-06 |
| 1982203832 | Mona Binesh | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-10-21 |
| 1780205781 | Samantha Unique Cockrell | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-04-30 |
| 1780217554 | Rukaya Harrold | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-02-19 |
| 1235769639 | Tynesha D Porter | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-01-24 |
| 1912537366 | La'joy D Brewster | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2020-01-23 |
| 1245878156 | Charlene Renee Clark | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2019-12-11 |
| 1366088593 | Jada Denise Higgins | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2019-11-22 |
| 1730739590 | Evelyn Magdalene Simmons | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2019-09-13 |
| 1679122204 | Kiyeshia Latrice Potter | Technician | 1711 E Desert Inn Rd, Las Vegas, NV 89169-3201 | 2019-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1457978561 | Damon Lavell Cohran | Counselor | 459 Sierra Vista Dr, 32, Las Vegas, NV 89169 | 2020-07-06 |
| 1912543307 | Josephine R Hernandez | Rehabilitation Practitioner | Firstmed Health and Wellness Center Inc., 3343 S. Eastern Avenue, Las Vegas, NV 89169 | 2019-11-21 |
| 1528602174 | Cindy Pena Jaramillo | Technician | 3376 S. Eaatern Ave, Las Vegas, NV 89169 | 2019-11-06 |
| 1497309967 | Richard Snarr Worthen | Technician | 3175 South Eastern Ave, Las Vegas, NV 89169 | 2019-08-01 |
| 1609345321 | Diaz Health LLC | Community/Behavioral Health | 5225 West 2nd Street, Las Vegas, NV 89169 | 2018-11-26 |
| 1902371024 | Kevin Burnett | Technician | 1100 Dunmont Apt 202, Las Vegas, NV 89169 | 2018-10-04 |
| 1659865111 | Kimberly Jackson-hampton | Counselor | 335 E Harmon Ave Apt 30, Las Vegas, NV 89169 | 2018-06-19 |
| 1093216350 | Blessed Services LLC | Community/Behavioral Health | 2525 White Street, Las Vegas, NV 89169 | 2018-02-22 |
| 1134627276 | Ivette Stephanie Garcia Retirado | Behavioral Analyst | 1591 E Desert Inn Rd, Las Vegas, NV 89169 | 2018-01-23 |
| Find all providers in zip 89169 | ||||
| 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 |
|---|---|---|---|---|
| 1891396628 | Jill Azevedo | Technician | 6300 Black Mesa Ct, Las Vegas, NV 89142-7919 | 2020-11-06 |
| 1396346409 | Johanna Dwyer | Technician | 5755 E Lake Mead Blvd Apt D, Las Vegas, NV 89156-6859 | 2020-11-04 |
| 1063013274 | Lloyd Major | Technician | 3830 University Center Dr Apt 318, Las Vegas, NV 89119-7420 | 2020-11-04 |
| 1861093239 | Raiquave Morgan | Technician | 5256 Tamarus St Apt B, Las Vegas, NV 89119-5047 | 2020-11-03 |
| 1669073250 | Chrissy Bowser | Technician | 3355 Spg Mnt Rd Ste 67, Las Vegas, NV 89102-8633 | 2020-11-02 |
| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1881293777 | Miguel Angel Umpierre | Technician | 9889 Overlook Ridge Ave, Las Vegas, NV 89148 | 2020-10-21 |
| 1356940654 | Shannon Gordon | Technician | 1224 W Lake Mead Blvd, Las Vegas, NV 89106-2415 | 2020-10-19 |
| 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.