DOMINIQUE CROCKER (NPI# 1215485636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215485636 |
| Entity Type | Organization |
| Organization Name | DOMINIQUE CROCKER |
| Practice Address |
917 Willow Tree Dr #a Las Vegas NV 89128 |
| Mailing Address |
917 Willow Tree Dr Unit A Las Vegas NV 89128-3321 |
| Practice Telephone | 7029557708 |
| Mailing Telephone | 7029557708 |
| Enumeration Date | 2016-09-14 |
| Last Update Date | 2016-09-14 |
| Authorized Official Name | DOMINIQUE LAKHIL CROCKER (MENTOR) |
| Authorized Official Telephone | 7029557708 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NV | Agencies |
| Street Address |
917 WILLOW TREE DR #A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699374256 | Dmc Medical Clinic Ltd | Family Medicine | 7140 Smoke Ranch Road, 150, Las Vegas, NV 89128 | 2020-10-23 |
| 1619589462 | Eldercare Services Lv, LLC | Technician | 8430 W. Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-08-21 |
| 1508477308 | Amneris Lizet Duran-brocato | Technician | 1150 North Buffalo Dr. Apt 2120, Las Vegas, NV 89128 | 2020-08-14 |
| 1366082612 | Ar Home Health Management LLC | Home Health | 7465 W Lake Mead Blvd Suite 100, Las Vegas, NV 89128 | 2020-01-14 |
| 1114563731 | Leslie A Pasternack | Acupuncturist | Integrated Acupuncture of Southern Nevada, 7250 Peak Dr #106, Las Vegas, NV 89128 | 2019-11-19 |
| 1154977940 | Devora Susana Leon-lopez | Chore Provider | 7320 Smoke Ranch Rd. Ste. H, Las Vegas, NV 89128 | 2019-08-16 |
| 1659924884 | Blanca Estela Garnica-mendez | Chore Provider | 7320 Smoke Ranch Rd. Suite H, Suite H, Las Vegas, NV 89128 | 2019-07-17 |
| 1467913160 | Sherwin Necunazar Azad | Student in an Organized Health Care Education/Training Program | Mountainview Hospital Gme, 3100 N. Tenaya Way, Las Vegas, NV 89128 | 2019-03-26 |
| 1962963801 | Michael Richard Korczynski | Student in an Organized Health Care Education/Training Program | 3100 North Tenaya Way, Las Vegas, NV 89128 | 2019-03-25 |
| 1013477041 | Yuanlong Zhao | Student in an Organized Health Care Education/Training Program | 3100 N Tenaya Way Graduate Medical Education, Las Vegas, NV 89128 | 2019-03-25 |
| Find all providers in zip 89128 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908000 | Oceans L.L.C. | Case Management | 9799 Aleutian St, Las Vegas, NV 89178-3844 | 2020-07-02 |
| 1124645999 | Community Porch Light | Case Management | 6263 W Twain Ave, Las Vegas, NV 89103-1153 | 2020-06-28 |
| 1568085140 | Nevada We Care | Case Management | 4080 E Lake Mead Blvd # B-110, Las Vegas, NV 89115-6466 | 2020-05-18 |
| 1508409285 | Angels Reunited | Case Management | 3838 Raymert Dr Ste 109, Las Vegas, NV 89121-3247 | 2019-10-24 |
| 1164077541 | Akeela Brown | Case Management | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-02 |
| 1902360373 | Deanna Camille Faucett | Case Management | 6816 White Sands Ave, Las Vegas, NV 89145-5334 | 2019-01-30 |
| 1336617257 | Boomerang Behavioral Solutions LLC. | Case Management | 9436 Rolling Ridge Ln, Las Vegas, NV 89134-0149 | 2018-11-08 |
| 1487121190 | Nevada Neurofeedback and Hypnosis LLC | Case Management | 3085 S Jones Blvd Ste B, Las Vegas, NV 89146-6767 | 2018-10-31 |
| 1356816318 | Acts of Kindness Community Services, LLC | Case Management | 2008 Hamilton Ln Bldg B, Las Vegas, NV 89106-4033 | 2018-10-05 |
| 1013495167 | Alexis Michelle Smelley | Case Management | 7630 Chantilly Island Ct, Las Vegas, NV 89123-1490 | 2018-07-31 |
| 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.