DME OF LAS VEGAS (NPI# 1194385484) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194385484 |
| Entity Type | Organization |
| Organization Name | DME OF LAS VEGAS |
| Practice Address |
4133 Mantle Ave North Las Vegas NV 89084-2653 |
| Mailing Address |
4904 Camino Al Norte # 336241 North Las Vegas NV 89031-9995 |
| Practice Telephone | 8663322330 |
| Mailing Telephone | 8663322330 |
| Mailing Fax Number | 7022023668 |
| Enumeration Date | 2019-06-18 |
| Last Update Date | 2019-06-18 |
| Authorized Official Name | RAY MCINTOSH (MANAGER) |
| Authorized Official Telephone | 8663322330 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BC3200X |
Durable Medical Equipment & Medical Supplies Specialization: Customized Equipment |
Suppliers | ||
| N | 332BD1200X |
Durable Medical Equipment & Medical Supplies Specialization: Dialysis Equipment & Supplies |
Suppliers | ||
| N | 332BN1400X |
Durable Medical Equipment & Medical Supplies Specialization: Nursing Facility Supplies |
Suppliers | ||
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
Suppliers | ||
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
Suppliers | ||
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| Street Address |
4133 MANTLE AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-2653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154856003 | Designs By Cheech, LLC | Durable Medical Equipment & Medical Supplies | 1206 Granite Ash Ave, North Las Vegas, NV 89081-3065 | 2017-04-28 |
| 1871999284 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 2255 Las Vegas Blvd N, North Las Vegas, NV 89030-5840 | 2014-11-12 |
| 1033356415 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 7090 N 5th St, North Las Vegas, NV 89084-1333 | 2009-01-07 |
| 1013183045 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 565 E Centennial Pkwy, North Las Vegas, NV 89081-5633 | 2008-04-30 |
| 1487833943 | Sams West Inc | Durable Medical Equipment & Medical Supplies | 2650 E Craig Rd, North Las Vegas, NV 89030-3399 | 2007-10-31 |
| 1215061031 | Walmart Inc. | Durable Medical Equipment & Medical Supplies | 3950 W Lake Mead Blvd, North Las Vegas, NV 89032-4895 | 2007-03-15 |
| 1417023359 | Smiths Food & Drug Centers Inc | Durable Medical Equipment & Medical Supplies | 6855 Aliante Pkwy, North Las Vegas, NV 89084-3195 | 2006-11-24 |
| 1528144086 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 3744 Civic Center Dr, North Las Vegas, NV 89030-4471 | 2006-10-27 |
| 1578663910 | Warm Springs Road Cvs, L.L.C. | Durable Medical Equipment & Medical Supplies | 4755 W Ann Rd, North Las Vegas, NV 89031-3424 | 2006-09-25 |
| 1750481198 | Warm Springs Road Cvs LLC | Durable Medical Equipment & Medical Supplies | 5545 Camino Al Norte, North Las Vegas, NV 89031 | 2006-09-25 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
Please comment or provide details below to improve the information on DME OF LAS VEGAS.
| 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.