SUE PHOMMACHANH (NPI# 1205336104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205336104 |
| Entity Type | Individual |
| Full Name | SUE PHOMMACHANH |
| Practice Address |
5000 W Oakey Blvd Ste E1 Las Vegas NV 89146-3398 |
| Practice Telephone | 7027332890 |
| Practice Fax Number | 7027334951 |
| Mailing Telephone | 7027332890 |
| Mailing Fax Number | 7027334951 |
| Enumeration Date | 2018-02-16 |
| Last Update Date | 2018-02-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Street Address |
5000 W OAKEY BLVD STE E1 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-3398 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750545000 | High Class Personal Care LLC | In Home Supportive Care | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2008-07-16 |
| 1124629225 | Aleyda Barrios | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-11-04 |
| 1467066738 | Rafaela Mcken | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-09-03 |
| 1144832726 | Elisha Donetta Anthony | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-08-17 |
| 1578189205 | Olga Lidia Rodriguez Dominguez | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-06-18 |
| 1487278461 | Merlyn Santos | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-06-04 |
| 1053949016 | Akeem Loyd | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-03-27 |
| 1851924534 | David Jr. Rivera | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-02-20 |
| 1881227049 | Adriana Victoria Coy | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-02-17 |
| 1790317725 | Hope Unueroh | Chore Provider | 5000 W Oakey Blvd Ste E1, Las Vegas, NV 89146-3398 | 2020-02-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455389 | Anisley Martines Rivas | Technician | 4309 W Oakey Blvd, Las Vegas, NV 89102-0529 | 2020-10-21 |
| 1063019651 | Shahad Riyadh F Alani | Technician | 9100 W Flamingo Rd Unit 1004, Las Vegas, NV 89147-6897 | 2020-10-06 |
| 1326655242 | Emanuel Martinez | Technician | 3971 Pebble Creek Ave, Las Vegas, NV 89147-4328 | 2020-09-24 |
| 1730795162 | Samantha Iveth Manzo | Technician | 2770 S Maryland Pkwy Ste A, Las Vegas, NV 89109-1554 | 2020-09-21 |
| 1255944112 | Aaron Willy Lao | Technician | 9646 Deer Park Ave, Las Vegas, NV 89148-4201 | 2020-08-28 |
| 1588275309 | Bernadette Quirante Mundon | Technician | 2624 S Lamb Blvd, Trailer 117, Las Vegas, NV 89121-1836 | 2020-08-14 |
| 1306457486 | Aida Katiuska Garcia-casillas | Technician | 900 Brush St Apt 423, Las Vegas, NV 89107-4063 | 2020-08-12 |
| 1245840909 | Allen Zhang | Technician | 281 Powerbilt Ave, Las Vegas, NV 89148-4411 | 2020-08-06 |
| 1326656778 | Anthony Palma | Technician | 7075 W Gowan Rd Apt 1120, Las Vegas, NV 89129-6291 | 2020-07-21 |
| 1659989242 | Alex Ayala | Technician | 1712 N Jones Blvd, Las Vegas, NV 89108-1622 | 2020-07-20 |
| 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.