JOHNNY JESSE (NPI# 1053911768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053911768 |
Entity Type | Individual |
Full Name | JOHNNY JESSE |
Practice Address |
5550 Painted Mirage Rd Ste 320 Las Vegas NV 89149-4584 |
Practice Telephone | 7028181787 |
Mailing Telephone | 7028181787 |
Enumeration Date | 2020-10-30 |
Last Update Date | 2020-10-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
Y | 372600000X | Adult Companion | Nursing Service Related Providers | ||
N | 376J00000X | Homemaker | Nursing Service Related Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NV | NONE | NONE | 01 |
Street Address |
5550 PAINTED MIRAGE RD STE 320 |
City | LAS VEGAS |
State | NV |
Zip Code | 89149-4584 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093846297 | Edward R-perez Lizano | Anesthesiology | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2007-03-08 |
1538707005 | Neubians Queen Crown and Glory, Incorp. | Technician, Other | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2019-12-16 |
1003204421 | Tiffany Clayton | Behavioral Analyst | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2015-01-07 |
1225449481 | Triumphant Life Interventions | Day Training, Developmentally Disabled Services | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2014-05-09 |
1013342203 | Nichole Bauccio | Counselor | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2013-09-06 |
1104251388 | Jazlyn Faye James | Counselor | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2013-09-06 |
1821421132 | Kellie Jean Mcmahon | Counselor | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2013-08-10 |
1730529884 | Christina Maria Millan | Counselor | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2013-07-02 |
1871933374 | Erika Washington | Counselor | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2013-06-28 |
1215377924 | Jose Modesto Martinez | Counselor | 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584 | 2013-06-26 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831796226 | Thompson Dental Pllc | Dentist | 9859 W. Deer Springs Way, Ste. 110, Las Vegas, NV 89149 | 2020-10-08 |
1699384941 | Dignity Select Nevada, LLC | Clinic/Center | 8675 W Rome Blvd, Las Vegas, NV 89149 | 2020-07-23 |
1225656945 | Vanlue Orthodontics, PC | Clinic/Center | 9855 W. Deer Springs Way, Suite 150, Las Vegas, NE 89149 | 2020-07-09 |
1285292052 | Dianne Pana | Physical Therapist | 351 N Fort Apache Rd, Las Vegas, NV 89149 | 2019-06-05 |
1477118198 | Cece Group Home, LLC | Community Based Residential Treatment Facility, Mental Illness | 5417 Ireland St, Las Vegas, NV 89149 | 2019-05-08 |
1790242543 | Carl Anthony Llanos Plaza | Nurse Practitioner | 6440 W Centennial Pkwy, Unit 155, Las Vegas, NV 89149 | 2019-02-28 |
1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
1366976276 | Pam Squared At Las Vegas, LLC | Rehabilitation Hospital | 6166 North Durango Drive, Las Vegas, NV 89149 | 2017-04-18 |
1083076269 | Kristopher Kevin Kleinman | Registered Nurse | 5550 Painted Mirage Rd Ste 217, Las Vegas, NV 89149 | 2016-03-25 |
1326428962 | Kimberly Vialpando | Physical Therapist | 6351 N. Forte Apache Road, Las Vegas, NV 89149 | 2015-06-08 |
Find all providers in zip 89149 |
Taxonomy Code | 372600000X |
Grouping | Nursing Service Related Providers |
Classification | Adult Companion |
An individual who provides supervision, socialization, and non-medical care to a functionally impaired adult. Companions may assist or supervise the individual with such tasks as meal preparation, laundry and shopping, but do not perform these activities as discrete services. These services are provided in accordance with a therapeutic goal in the plan of care. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710588041 | Melba Gipson | Adult Companion | 1000 S Valley View Blvd Fl 2, Las Vegas, NV 89107-4448 | 2020-11-03 |
1285245837 | Jessica N Anderson | Adult Companion | 1640 Arville St, Las Vegas, NV 89102-3840 | 2020-08-16 |
1508482548 | Odalyn Ortega Pinero | Adult Companion | 3478 Paradise Rd # Appt176, Las Vegas, NV 89169-2701 | 2020-06-24 |
1073138590 | Nereida Blanco | Adult Companion | 3266 Arabella St, Las Vegas, NV 89169-2474 | 2020-06-10 |
1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
1023649852 | Sandi Corona | Adult Companion | 3975 N Nellis Blvd Unit 3975n, Las Vegas, NV 89115-2725 | 2020-01-30 |
1861038622 | Roberto Arteaga | Adult Companion | 2928 N Pecos Rd Apt 102, Las Vegas, NV 89115-0684 | 2019-11-26 |
1285278218 | Marilyn Francisco | Adult Companion | 1500 E Tropicana Ave Ste 162, Las Vegas, NV 89119-6516 | 2019-11-02 |
1619510955 | Mnj Corporation | Adult Companion | 3340 N Bronco St, Las Vegas, NV 89108-4806 | 2019-10-18 |
1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
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.