LAQUANN WALLACE


Address: 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189
Phone: 7028900405

LAQUANN WALLACE (NPI# 1124580873) 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) 1124580873
Entity Type Individual
Full Name LAQUANN WALLACE
Practice Address 2235 E Flamingo Rd Ste 130
Las Vegas
NV 89119-5189
Practice Telephone 7028900405
Mailing Telephone 7028900405
Enumeration Date 2019-04-02
Last Update Date 2019-04-02
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 2235 E FLAMINGO RD STE 130
City LAS VEGAS
State NV
Zip Code 89119-5189

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356830798 A Starlight Home Care, LLC Home Health 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119 2018-05-01
1255984670 Sherree Annette Russell Chore Provider 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-24
1144873829 Michael Sean Ozenne Chore Provider 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-22
1760034763 Elizabeth Reeder Chore Provider 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-10
1609428895 John Leland Monson Chore Provider 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-09
1598327421 Brandon Michael Williams Chore Provider 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-01
1033771951 Charmaine Denise Beverly Adult Companion 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-01
1578125498 Linda Dee Obeso Chore Provider 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-07-01
1245792993 Stella Sarkisyan Technician 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-04-02
1063974715 Daulton Mccalla Technician 2235 E Flamingo Rd Ste 130, Las Vegas, NV 89119-5189 2019-04-02
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 2020-09-28
1063024214 Rosa Isela Martinez Gonzalez Technician 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 2020-08-19
1720697980 Christian Scott Social Worker 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 2019-10-09
1083260046 Araceli Rosas Vargas Technician 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-15
1376197707 Bristure Clayton Technician Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-07-24
1457904534 Carmen Laura Gonzalez Valenzuela Chore Provider 6725-1 S. Eastern Ave, Las Vegas, NV 89119 2019-07-18
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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

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
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Competitor

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City LAS VEGAS
Zip Code 89119

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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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