C & C HEALTH CARE SERVICES LLC (NPI# 1215575717) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215575717 |
| Entity Type | Organization |
| Organization Name | C & C HEALTH CARE SERVICES LLC |
| Practice Address |
1465 Terminal Way Ste 5 Reno NV 89502-3200 |
| Mailing Address |
2455 W Serene Ave Unit 640 Las Vegas NV 89123-6539 |
| Practice Telephone | 7756820020 |
| Practice Fax Number | 7029956509 |
| Mailing Telephone | 7027207869 |
| Mailing Fax Number | 7029956509 |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2019-12-15 |
| Authorized Official Name | CINDY JONES (PARTNER/OM) |
| Authorized Official Telephone | 7756820020 |
| Is Organization Subpart | Y |
| Parent Organization Name | NV20181608907 |
| Parent Organization TIN |
|
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0401X |
Family Medicine Specialization: Addiction Medicine |
Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417510439 | C & C Health Care Services LLC | Clinic/Center | 1281 Terminal Way Ste 110, Reno, NV 89502-3246 | 2019-04-16 |
| 1851904486 | C & C Health Care Services LLC | Clinic/Center | 1500 E Tropicana Ave Ste 180, Las Vegas, NV 89119-8314 | 2020-08-24 |
| 1316559628 | C & C Health Care Services LLC | Clinic/Center | 1281 Terminal Way Ste 110, Reno, NV 89502-3246 | 2020-08-18 |
| 1528602737 | C & C Health Care Services LLC | Clinic/Center | 1500 E Tropicana Ave Ste 180, Las Vegas, NV 89119-8314 | 2019-10-30 |
| Street Address |
1465 TERMINAL WAY STE 5 |
| City | RENO |
| State | NV |
| Zip Code | 89502-3200 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063870798 | Andre Baxter | Behavioral Analyst | 1465 Terminal Way Ste 5, Reno, NV 89502-3200 | 2016-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 207QA0401X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Addiction Medicine |
| A family medicine physician who specializes in the diagnosis and treatment of addictions. |
| Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A Certification of Added Qualifications (CAQ) was, but is no longer issued by the American Osteopathic Board of Family Physicians. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942376207 | Michael Shawn Levy | Family Medicine | 6000 W Rochelle Ave Ste 800, Las Vegas, NV 89103-3300 | 2006-11-28 |
| 1477660603 | Melvin Irwin Pohl | Family Medicine | 3321 N Buffalo Drive, Suite 125, Las Vegas, NV 89129 | 2006-08-24 |
| 1538707039 | New Mind Primary Care Clinic | Family Medicine | 320 N Nellis Blvd Ste 6, Las Vegas, NV 89110-5390 | 2019-12-15 |
| 1346785151 | Michael S Levy Do Professional Corporation | Family Medicine | 4445 S Jones Blvd Ste 3, Las Vegas, NV 89103-3371 | 2017-01-03 |
| 1942688932 | Doctors Center At Redrock | Family Medicine | 8413 W Lake Mead Blvd, Las Vegas, NV 89128-7638 | 2015-05-11 |
| 1548278617 | Maurice Dubois Gregory Jr. | Family Medicine | 2020 Goldring Ave, Suite 503, Las Vegas, NV 89106-4000 | 2006-08-04 |
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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.