INDEPENDENCE LIFESTYLES INC (NPI# 1144567017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144567017 |
| Entity Type | Organization |
| Organization Name | INDEPENDENCE LIFESTYLES INC |
| Other Organization Name | VISITING ANGELS |
| Practice Address |
1701 N Green Valley Pkwy Suite 9a Henderson NV 89074-5885 |
| Practice Telephone | 7024071100 |
| Practice Fax Number | 7026144783 |
| Mailing Telephone | 7024071100 |
| Mailing Fax Number | 7026144783 |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |
| Authorized Official Name | MRS. JACQUELYN DIASIO (OWNER) |
| Authorized Official Telephone | 7024071100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | 5291PCS-3 | NV | Agencies |
| Other Name | Type Code |
|---|---|
| Visiting Angels | Doing Business As Name - Organization |
| Street Address |
1701 N GREEN VALLEY PKWY SUITE 9A |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-5885 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508841800 | Robert A Gatlin | Obstetrics & Gynecology | 1701 N Green Valley Pkwy, Bld 3 Suite B, Henderson, NV 89074-5885 | 2005-12-08 |
| 1134733934 | Reneta Ngha | Pharmacist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-08-31 |
| 1497366439 | James Paul Avila | Pharmacist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-08-13 |
| 1104434513 | Vinh Thi Nguyen | Obstetrics & Gynecology | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2020-07-22 |
| 1861048720 | Julie West | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-15 |
| 1063067585 | Hannah Thomas | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-02 |
| 1215582721 | Aubre Adoree | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2019-08-02 |
| 1174003222 | Veronica Valentine | Technician | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2018-08-17 |
| 1003367830 | Arnel Sulit | Physical Therapist | 1701 N Green Valley Pkwy, Henderson, NV 89074-5885 | 2016-10-17 |
| 1033664818 | New Century Rehabilitation, LLC | Physical Therapist | 1701 N Green Valley Pkwy, Bldg. 8, Ste. B, Henderson, NV 89074-5885 | 2016-08-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039327 | Rising Hope Homecare Agency LLC | In Home Supportive Care | 1755 Parham St, Henderson, NC 27536-3957 | 2020-09-30 |
| 1043825854 | Monty Paul Mccoy | In Home Supportive Care | 264 Mattino Way, Henderson, NV 89074-1434 | 2020-09-09 |
| 1396359030 | Turkesa Whittley | In Home Supportive Care | 94 Oak Forest Dr, Henderson, NC 27537-7268 | 2020-09-01 |
| 1467086298 | Priority Home Care Services LLC | In Home Supportive Care | 741 Calamus Palm Pl, Henderson, NV 89011-2646 | 2020-03-02 |
| 1306487707 | A Primary Choice, Inc. | In Home Supportive Care | 946 W Andrews Ave Ste Y, Henderson, NC 27536-2500 | 2019-10-07 |
| 1316588791 | Aultrucare LLC | In Home Supportive Care | 11500 S Eastern Ave Ste 150, Henderson, NV 89052-5576 | 2019-10-07 |
| 1679139398 | T. C. Fitzgerald Inc. | In Home Supportive Care | 335 W Sherwood Dr, Henderson, NV 89015-7700 | 2019-05-17 |
| 1851850994 | Moving 4ward, LLC | In Home Supportive Care | 50 S Stephanie St Ste 203, Henderson, NV 89012-5731 | 2019-03-18 |
| 1225512080 | Mirka Calas | In Home Supportive Care | 1237 Diamond Valley St, Henderson, NV 89052-3019 | 2018-09-18 |
| 1912487687 | Good News Health Care, Inc | In Home Supportive Care | 2157 Raleigh Rd, Henderson, NC 27536-5761 | 2018-08-21 |
| 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.