SHANAE EBONY GLASS (NPI# 1164055919) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164055919 |
| Entity Type | Individual |
| Full Name | SHANAE EBONY GLASS |
| Practice Address |
2580 North Rancho Suite 105-106 North Las Vegas NV 89032 |
| Mailing Address |
4361 Aponte St Apt 203 Las Vegas NV 89115-1632 |
| Practice Telephone | 7024754175 |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2020-02-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1285923185 | 05 |
| Street Address |
2580 NORTH RANCHO SUITE 105-106 |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| 1992353692 | Maria Isidra Escoba - Espinoza | Technician | 2132 Cabrini Ct, North Las Vegas, NV 89032 | 2019-08-27 |
| Find all providers in zip 89032 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194292433 | Keyonna Forestall | Case Manager/Care Coordinator | 5005 Losee Rd Apt 3129, North Las Vegas, NV 89081-2487 | 2018-10-24 |
| 1083181481 | Nicole M Burchett | Case Manager/Care Coordinator | 3940 Scott Robinson Blvd Apt 1132, North Las Vegas, NV 89032-7877 | 2018-10-24 |
| 1548755960 | Alethea Solomon | Case Manager/Care Coordinator | 4527 Chestnut Blaze Dr, North Las Vegas, NV 89032-2423 | 2018-06-27 |
| 1619465606 | Jasmine Jeanette Williams | Case Manager/Care Coordinator | 5044 Blue Rose St, North Las Vegas, NV 89081-2677 | 2018-04-25 |
| 1477057149 | Chelsea Brooks | Case Manager/Care Coordinator | 5575 Simmons St # 1-274, North Las Vegas, NV 89031-9009 | 2018-03-19 |
| 1336669308 | Flower Benjamin | Case Manager/Care Coordinator | 4249 N Commerce St Unit 1003, North Las Vegas, NV 89032-1182 | 2017-06-21 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| 1376077768 | Lauren Herndon | Case Manager/Care Coordinator | 628 Claxton Ave, North Las Vegas, NV 89084-1249 | 2017-04-12 |
| 1821544982 | Francisca Iyere | Case Manager/Care Coordinator | 1012 Bistro Bay Ave, North Las Vegas, NV 89086-1337 | 2016-08-29 |
| 1528432747 | Clever D Ugbodu | Case Manager/Care Coordinator | 3305 E Rome Blvd Apt 1029, North Las Vegas, NV 89086-1499 | 2015-11-26 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
Please comment or provide details below to improve the information on SHANAE EBONY GLASS.
| 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.