EDSON JEAM ARREDONDO (NPI# 1124528963) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124528963 |
| Entity Type | Individual |
| Full Name | EDSON JEAM ARREDONDO |
| Practice Address |
160 E Horison Dr Ste A Henderson NV 89015 |
| Mailing Address |
5256 Denning St Las Vegas NV 89122-7138 |
| Practice Telephone | 7026443600 |
| Mailing Telephone | 7024092969 |
| Enumeration Date | 2018-02-19 |
| Last Update Date | 2018-02-19 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | NV | Nursing Service Related Providers | |
| N | 372600000X | Adult Companion | NV | Nursing Service Related Providers | |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
NV | Nursing Service Related Providers | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NV | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | NV | Nursing Service Related Providers |
| Street Address |
160 E HORISON DR STE A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503238 | Holly Abarca | Home Health Aide | 212 Shoshone Ln, Henderson, NV 89015 | 2018-10-05 |
| 1184111890 | Pain Center of Henderson LLC | Pain Medicine | 98 E. Lake Mead Pkwy. Suite 202, Henderson, NV 89015 | 2018-04-18 |
| 1558879569 | Robin Harvey | Rehabilitation Practitioner | 203 S. Water St # 200, Henderson, NV 89015 | 2018-01-12 |
| 1477064368 | Chris Mcdonald | Counselor | 220 E Horizon Drive, Suite H, Henderson, NV 89015 | 2017-10-18 |
| 1649792565 | David Blake | Case Manager/Care Coordinator | 522 E. Lake Mead Parkway, Suite 5, Henderson, NV 89015 | 2017-07-12 |
| 1457726135 | Ozioma Chiebuka Nwosu | Nurse Practitioner | 200 E Horizon Dr Ste A, Henderson, NV 89015 | 2015-12-07 |
| 1770962839 | Myesha Nicole Butler | Counselor | 16 W. Pacific Street, Ste. 2, Henderson, NV 89015 | 2015-05-22 |
| 1629469424 | Felicia Suberville | Behavioral Analyst | 236 Red Horizon Terrace, Henderson, NV 89015 | 2015-02-16 |
| 1144618349 | Dinesh Bharwani | Physician Assistant | 270 West Lake Mead Parkway, Southwest Medical Associates, Henderson, NV 89015 | 2014-12-23 |
| 1447657721 | Renea Valenzuela | Behavioral Analyst | 135 W Victory Rd, Henderson, NV 89015 | 2014-12-02 |
| Find all providers in zip 89015 | ||||
| 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 |
|---|---|---|---|---|
| 1396343109 | Stephanie Nicole Baird | Technician | 11073 Crab Creek Rd, Henderson, WV 25106-9732 | 2020-10-14 |
| 1134726953 | Susan Warmuth | Technician | 584 Sellers Pl, Henderson, NV 89011-5373 | 2020-10-05 |
| 1093312894 | Triscion Watkins | Technician | 111 W Victory Rd, Henderson, NV 89015-7022 | 2020-10-05 |
| 1346847167 | Maximillian Crawford | Technician | 2577 Woodson Ave, Henderson, NV 89052-6489 | 2020-10-05 |
| 1932706736 | Madonna Abad | Technician | 3618 Via Messina, Henderson, NV 89052-1504 | 2020-10-05 |
| 1801401476 | Martin Flores | Technician | 916 Serpent Rose Ct, Henderson, NV 89052-8657 | 2020-09-10 |
| 1578177655 | Vanquisha L Mckie | Technician | 1030 Center St Apt 3i, Henderson, NV 89015-6301 | 2020-09-04 |
| 1225642739 | Roger Anthony | Technician | 227 W Pacific Ave, Henderson, NV 89015-7378 | 2020-09-02 |
| 1053925578 | Andrea Day | Technician | 301 Taylor St Apt 1624, Henderson, NV 89015-5429 | 2020-09-02 |
| 1366056897 | Alicia Vinculado | Technician | 2570 W Horizon Ridge Pkwy, Henderson, NV 89052-5618 | 2020-09-02 |
| Find all providers in HENDERSON | ||||
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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.