A BEAUTFUL SOUL HOME HEALTHCARE/HOUSEKEEPING (NPI# 1255667473) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255667473 |
| Entity Type | Organization |
| Organization Name | A BEAUTFUL SOUL HOME HEALTHCARE/HOUSEKEEPING |
| Practice Address |
3528 Mashie Dr Sparks NV 89431-8522 |
| Practice Telephone | 7753427437 |
| Mailing Telephone | 7753427437 |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2009-10-22 |
| Authorized Official Name | EBONY SHAUNTE RICHARDSON (OWNER) |
| Authorized Official Telephone | 7753427437 |
| Authorized Official Credential | MEDICAL ASSISTAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 305R00000X | Preferred Provider Organization | 491105 | NV | Managed Care Organizations |
| Street Address |
3528 MASHIE DR |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-8522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| Taxonomy Code | 305R00000X |
| Grouping | Managed Care Organizations |
| Classification | Preferred Provider Organization |
| A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. |
| Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/ October 1995, p. 62 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821468778 | Nathan Pinkney | Preferred Provider Organization | 9421 Moon Splash Ct, Las Vegas, NV 89129-7890 | 2015-10-05 |
| 1033586417 | Phoenix Providers | Preferred Provider Organization | 3844 Joy Ln, Reno, NV 89523 | 2015-09-01 |
| 1982080172 | Alw Behavior Services | Preferred Provider Organization | 3757 Dusky Flycatcher St, Las Vegas, NV 89122-3546 | 2015-08-11 |
| 1659766137 | Just Like Family | Preferred Provider Organization | 1118 Kruger Ct, North Las Vegas, NV 89032-9005 | 2015-04-01 |
| 1801201918 | Michelle Strahler | Preferred Provider Organization | 75 Yesterday Dr, Henderson, NV 89074-5852 | 2014-06-26 |
| 1639411473 | Giang Lam A Profession Corp | Preferred Provider Organization | 6545 S Fort Apache Rd, 110, Las Vegas, NV 89148-6752 | 2013-03-19 |
| 1659610483 | Valhalla Medical Associates LLC | Preferred Provider Organization | 2851 N Tenoya Way #103, Las Vegas, NV 89128-0435 | 2013-02-14 |
| 1104176361 | Rainbow Adult Child Family Services | Preferred Provider Organization | 5016 Blue Rose St, N Las Vegas, NV 89081-2676 | 2012-09-14 |
| 1205183886 | My Family Home | Preferred Provider Organization | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2012-08-13 |
| 1306115449 | Sierra Home Health Care | Preferred Provider Organization | 3500 Lakeside Ct Ste 204, Reno, NV 89509-4896 | 2011-12-19 |
| Find all providers with the same taxonomy | ||||
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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.