JENNIFER A REILLY (NPI# 1104328624) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104328624 |
| Entity Type | Individual |
| Full Name | JENNIFER A REILLY |
| Practice Address |
535 S Decatur Blvd Las Vegas NV 89107-3910 |
| Mailing Address |
302 W Basic Rd Apt 1 Henderson NV 89015-7172 |
| Practice Telephone | 7025622273 |
| Mailing Telephone | 7025622273 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | Nursing Service Related Providers | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| N | 376J00000X | Homemaker | Nursing Service Related Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992340707 | Jennifer Reilly | Licensed Practical Nurse | 62 Sugar Toms Lane, East Norwich, NY 11732 | 2019-11-15 |
| 1437564432 | Jennifer Reilly | Occupational Therapy Assistant | 15 Abacus Ave, Ormond Beach, FL 32174-1047 | 2014-06-27 |
| 1366737066 | Jennifer Marie Reilly | Behavioral Analyst | 500 Marquette Ave Nw Ste 1200, Albuquerque, NM 87102-5312 | 2011-06-10 |
| 1386974061 | Jennifer M Reilly | Acupuncturist | 11810 Industrial Ct, Auburn, CA 95603-9584 | 2010-01-03 |
| 1821327024 | Jennifer Connelly Reilly | Nurse Practitioner | 5875 Bremo Rd Ste 701, Richmond, VA 23226-1928 | 2009-12-17 |
| 1811140957 | Jennifer Reilly | Speech-Language Pathologist | 48 Leibrock Ave, Lindenhurst, NY 11757-1824 | 2008-11-03 |
| 1558348847 | Jennifer L Reilly | Counselor | 257 Indiana Ave Ste B1, Valparaiso, IN 46383-5543 | 2005-12-28 |
| 1639783418 | Jennifer Reilly | Occupational Therapist | 210 E Derenne Ave, Savannah, GA 31405-6736 | 2020-08-31 |
| 1528691268 | Jennifer Lynne Reilly | Counselor | 68 North Front Street, New Bedford, MA 02740 | 2020-02-21 |
| 1568911873 | Jennifer Reilly | Nurse Practitioner | 333 Cottman Ave, Philadelphia, PA 19111-2434 | 2016-09-27 |
| Street Address |
535 S DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-3910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912078163 | Didc Incorporated Dba All Valley Home Health Care & Nursing | Technician | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2006-11-10 |
| 1780285700 | Tessie Marie Salas | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-11-05 |
| 1669072898 | Ronisha Nicole Bunch | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-10-27 |
| 1609475441 | Ryan Patrick Lee | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-10-22 |
| 1265039937 | Manuel Francisco Banda Martinez | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-10-06 |
| 1528665320 | Kemyatta Tyree Cromer | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-10-05 |
| 1982211819 | Francina Rosaline Sloan | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-09-24 |
| 1245847219 | Gertrude Millien | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-09-24 |
| 1275149015 | Diana M Bruno | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-09-17 |
| 1790391498 | Sheila Christine Mcintyre | Chore Provider | 535 S Decatur Blvd, Las Vegas, NV 89107-3910 | 2020-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| 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.