JOHNNY JESSE


Address: 5550 Painted Mirage Rd Ste 320, Las Vegas, NV 89149-4584
Phone: 7028181787

JOHNNY JESSE (NPI# 1053911768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

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

Taxonomy

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

Other Provider Identifier

State Issuer Identifier Type Code
NV NONE NONE 01

Office Location

Street Address 5550 PAINTED MIRAGE RD STE 320
City LAS VEGAS
State NV
Zip Code 89149-4584

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 372600000X
Grouping Nursing Service Related Providers
Classification Adult Companion

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAS VEGAS
Zip Code 89149

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Dataset Information

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.

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