ADDISON HOLDINGS, INC. (NPI# 1194360040) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194360040 |
| Entity Type | Organization |
| Organization Name | ADDISON HOLDINGS, INC. |
| Practice Address |
9651 Trattoria St Las Vegas NV 89178-8262 |
| Practice Telephone | 7024851876 |
| Practice Fax Number | 7024632836 |
| Mailing Telephone | 7024851876 |
| Mailing Fax Number | 7024632836 |
| Enumeration Date | 2019-11-14 |
| Last Update Date | 2019-11-14 |
| Authorized Official Name | MR. ALLYN FRANCIS POVILAITIS (PRESIDENT) |
| Authorized Official Telephone | 7028604967 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Hillside Manor at Mountains Edge | Doing Business As Name - Organization |
| Street Address |
9651 TRATTORIA ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89178-8262 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598396236 | Najand Dental, LLC | Dentist | 8525 Blue Diamond Road Suite #110, Las Vegas, NV 89178 | 2020-01-31 |
| 1588219117 | Spring Valley Medical Center | Emergency Medicine | 9217 S Cimarron Rd, Las Vegas, NV 89178 | 2019-08-09 |
| 1447746623 | Sheila Heraypur | Dentist | 8525 Blue Diamond Road, Ste 110, Las Vegas, NV 89178 | 2018-07-10 |
| 1902314198 | Moderneyes Family Eye Care Magdato Guerrero Pllc | Optometrist | 7955 Blue Diamond Rd Ste 105, Las Vegas, NV 89178 | 2018-01-22 |
| 1801307947 | A Place of Hope Behavioral Health Services of Nevada | Clinic/Center | 8631 Isla Vista Valley Ct, Las Vegas, NV 89178 | 2017-10-17 |
| 1750806121 | Carson Chanell Gomez | Nurse Practitioner | 10060 Trotter Peak St, Las Vegas, NV 89178 | 2017-08-07 |
| 1235678061 | Albertsons LLC | Durable Medical Equipment & Medical Supplies | 7975 Blue Diamond Rd, Las Vegas, NV 89178 | 2017-02-13 |
| 1275991499 | Mary Catherine Samuels | Behavioral Analyst | 9401 Crimson Sky, Las Vegas, NV 89178 | 2016-02-02 |
| 1891178455 | Pathways of Nevada | Social Worker | 8637 Tom Noon Ave., Las Vegas, NV 89178 | 2015-07-01 |
| 1629464243 | Mohamed Sharif | Psychiatry & Neurology | 9003 Greek Palace Ave, Las Vegas, NV 89178 | 2015-04-10 |
| Find all providers in zip 89178 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215552468 | Aloho Paradise Care LLC | Assisted Living Facility | 1809 Westwind Rd, Las Vegas, NV 89146-0304 | 2020-06-13 |
| 1740803857 | Arlene Rochalski | Assisted Living Facility | 4460 Marlena Cir, Las Vegas, NV 89108-2004 | 2020-05-22 |
| 1528680725 | Nevada Memory Care & Assisted Living Centers LLC | Assisted Living Facility | 2299 Montessouri St, Las Vegas, NV 89117-2813 | 2020-05-11 |
| 1386279164 | Mindful Caring LLC | Assisted Living Facility | 3940 Waterford Ln, Las Vegas, NV 89119-0842 | 2020-03-11 |
| 1083248892 | St Jeremiah LLC | Assisted Living Facility | 3918 Cherokee Ave E, Las Vegas, NV 89121-4511 | 2020-03-02 |
| 1184261984 | Best Care Inc. | Assisted Living Facility | 3212 El Camino Rd, Las Vegas, NV 89146-6624 | 2019-11-30 |
| 1447891528 | Quality Care 4 Seniors LLC | Assisted Living Facility | 4369 Adelphi Ave, Las Vegas, NV 89120-2136 | 2019-09-30 |
| 1043863822 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3045 S Tioga Way, Las Vegas, NV 89117-3218 | 2019-07-20 |
| 1225699770 | Maide LLC | Assisted Living Facility | 1505 Duneville St, Las Vegas, NV 89146-1269 | 2019-06-25 |
| 1205492568 | Pineda Group LLC | Assisted Living Facility | 3421 Camsore Point Ln, Las Vegas, NV 89129-6999 | 2019-05-13 |
| Find all providers in LAS VEGAS | ||||
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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.