GLENN LEE WILLIAMS (NPI# 1154972271) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154972271 |
| Entity Type | Individual |
| Full Name | GLENN LEE WILLIAMS |
| Practice Address |
332 S Decatur Blvd Las Vegas NV 89107-2804 |
| Practice Telephone | 7026655654 |
| Mailing Telephone | 7026655654 |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |
| Gender Code | M |
| 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 |
|---|---|---|---|---|
| 1134204670 | Glenn Williams | Physician Assistant | 202 Millbrook Village Dr, Goldsboro, NC 27530-7768 | 2006-10-25 |
| 1063425593 | Glenn David Williams | Registered Nurse | 37 Deer Hollow Rd, Forestdale, MA 02644-1712 | 2006-08-14 |
| 1174530885 | Glenn Hunter Williams | Nurse Anesthetist, Certified Registered | Anesthesiology Service, Va Medical Center, 1601 Sw Archer Road, Gainesville, FL 32608 | 2006-08-02 |
| 1649277039 | Glenn R. Williams Jr. | Family Medicine | 5555 Cleveland Ave, Columbus, OH 43231-4048 | 2005-06-30 |
| 1538165501 | Glenn G Williams | Emergency Medicine | 720 S Ayers Hill Rd, Austin, PA 16720-1012 | 2005-06-24 |
| 1417468505 | Glenn Edward Williams | Behavior Technician | 41521 W 11 Mile Rd, Novi, MI 48375-1803 | 2017-10-17 |
| 1942734637 | Glenn Vincent Williams I | Physical Therapist | 355 Crossgates Blvd, Brandon, MS 39042-2602 | 2017-04-19 |
| 1144774639 | Glenn D Williams | Counselor | 1700 Ups Dr, Suite 107, Louisville, KY 40223-4046 | 2016-08-12 |
| 1316353378 | Glenn Williams | Counselor | 5215 Highway Ave, Jacksonville, FL 32254-3632 | 2014-07-10 |
| 1598047326 | Glenn Joseph Williams | Pharmacist | 2801 Louisville Ave, Monroe, LA 71201-6655 | 2011-09-19 |
| Street Address |
332 S DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-2804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598135543 | Nevada PCa, LLC. | In Home Supportive Care | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2015-10-03 |
| 1831798644 | Dominique Brooks | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-10-22 |
| 1679170708 | Renisha Scofiled | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-10-01 |
| 1568077535 | Anthony Jackson | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-09-15 |
| 1285245019 | Yolanda Short | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-08-14 |
| 1821607946 | Elvia Josefina Corella Rodriguez | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-07-24 |
| 1184232761 | Lorenzo Biscocho | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-07-20 |
| 1609491596 | El'jerna Baker | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-06-16 |
| 1285258822 | Vanessa Gonzalez | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-05-29 |
| 1629691803 | Laysha Monique Dale | Chore Provider | 332 S Decatur Blvd, Las Vegas, NV 89107-2804 | 2020-05-22 |
| 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 | ||||
Please comment or provide details below to improve the information on GLENN LEE WILLIAMS.
| 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.