MEDTRANS LLC (NPI# 1083173694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083173694 |
| Entity Type | Organization |
| Organization Name | MEDTRANS LLC |
| Practice Address |
5412 Boulder Hwy Las Vegas NV 89122-6039 |
| Mailing Address |
3312 W Charleston Blvd Las Vegas NV 89102-1829 |
| Practice Telephone | 7022917121 |
| Mailing Telephone | 7024107825 |
| Enumeration Date | 2019-03-14 |
| Last Update Date | 2019-03-14 |
| Authorized Official Name | FRANCES MALINIS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7024107825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598134272 | Medtrans LLC | Non-emergency Medical Transport (VAN) | 2990 N Main St Ste 3a, Las Cruces, NM 88001-1195 | 2015-09-23 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | MEDTRANS LLC | 3 Lakes Dr, Northfield, IL 60093-2753 |
| Oregon Corporations, Companies and Business Names | MEDTRANS LLC | 3 Lakes Dr, Northfield, IL 60093 |
| Street Address |
5412 BOULDER HWY |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89122-6039 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346432374 | Pamela Hollis | Social Worker | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2007-08-14 |
| 1780283374 | Kelly Ann Waddilove | Case Manager/Care Coordinator | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-10-23 |
| 1942809157 | Christopher David Burns | Case Manager/Care Coordinator | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-10-19 |
| 1518564533 | Aimee Hollaway De Jesus | Counselor | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-10-02 |
| 1427662436 | Derick Ian Becios Manabat | Case Manager/Care Coordinator | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-09-07 |
| 1750994893 | Jeremie Bradford | Assistant Behavior Analyst | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-08-28 |
| 1093327116 | Hannah Nicole Schweinfurth | Assistant Behavior Analyst | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-08-19 |
| 1841818911 | Lucy Katende | Assistant Behavior Analyst | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-07-06 |
| 1114544863 | Jose Enrique Sandoval | Behavior Technician | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-06-29 |
| 1770106270 | Joseph N/a Ramirez | Behavior Technician | 5412 Boulder Hwy, Las Vegas, NV 89122-6039 | 2020-05-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902425523 | Dezirae Wilson | Technician | 5180 E Tropicana Ave Apt 46e, Las Vegas, NV 89122 | 2020-04-14 |
| 1407312366 | More Than Words LLC | Speech-Language Pathologist | 3430 Blue Ash Lane, Las Vegas, NV 89122 | 2019-02-15 |
| 1588130751 | Leslie Totress | Case Manager/Care Coordinator | 6368 Foxlyn Ave, Las Vegas, NV 89122 | 2018-10-15 |
| 1780100511 | Easy Living Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 5069 Sun Valley Dr, Las Vegas, NV 89122 | 2017-08-14 |
| 1508381435 | Louie Taquiqui | Community/Behavioral Health | 3566 Tundra Swan St, Las Vegas, NE 89122 | 2017-08-11 |
| 1972032233 | Marilan Sanchez | Rehabilitation Practitioner | 5210 Emelita St, Las Vegas, NV 89122 | 2017-06-08 |
| 1023479599 | Tia Collins | Social Worker | 5412 Boulder Highway, Las Vegas, NV 89122 | 2016-03-11 |
| 1548673056 | Saba Chatoor | Counselor | 5446 Boulder Hwy Ste G3, Las Vegas, NV 89122 | 2014-06-03 |
| 1811328685 | Derrell Williams | Counselor | 3326 Wasatch Cedars St., Las Vegas, NV 89122 | 2013-12-04 |
| 1225466709 | The Lighthouse LLC | Community/Behavioral Health | 5710 E Tropicana Ave #2212, Las Vegas, NEVADA 89122 | 2013-10-22 |
| Find all providers in zip 89122 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467099739 | Purpose Driven Recovery LLC | Clinic/Center | 2785 E Desert Inn Rd Ste 270, Las Vegas, NV 89121-3693 | 2019-12-05 |
| 1831756014 | Sanel Halilovic | Clinic/Center | 4701 Hansel Cir, Las Vegas, NV 89102-5796 | 2019-05-23 |
| 1861971210 | Las Vegas Addiction Treatment Center | Clinic/Center | 7391 W Charleston Blvd Ste 150, Las Vegas, NV 89117-1577 | 2018-08-07 |
| 1689170862 | Cycles of Change Recovery Services, LLC | Clinic/Center | 6069 S Fort Apache Rd Ste 130, Las Vegas, NV 89148-5579 | 2018-04-05 |
| 1417464397 | Therapy Today Recovery Center | Clinic/Center | 1230 W Owens Ave Ste 1, Las Vegas, NV 89106-2451 | 2018-01-02 |
| 1255880191 | Sierra Treatment and Recovery Services, LLC | Clinic/Center | 3321 N. Buffalo Dr., Suite #125, Las Vegas, NV 89129 | 2016-10-03 |
| 1376997627 | Horizon Ridge Clinic LLC | Clinic/Center | 3160 W Sahara Ave Ste A11, Las Vegas, NV 89102-3215 | 2016-04-22 |
| 1164811121 | Aac Las Vegas Outpatient Center, LLC | Clinic/Center | 3441 S Eastern Ave, Las Vegas, NV 89169-3314 | 2015-01-14 |
| 1184061061 | Vitality Unlimited | Clinic/Center | 1550 Western Ave, Las Vegas, NV 89102-2614 | 2013-05-31 |
| 1649402520 | Center for Addiction Medicine LLC | Clinic/Center | 4445 S Jones Blvd Ste 3, Las Vegas, NV 89103-3373 | 2009-08-11 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on MEDTRANS LLC.
| 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.