HEAVENLY ANGELS HOME CARE SERVICES (NPI# 1275035826) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275035826 |
| Entity Type | Organization |
| Organization Name | HEAVENLY ANGELS HOME CARE SERVICES |
| Practice Address |
517 Count Ave North Las Vegas NV 89030-8630 |
| Practice Telephone | 7027787440 |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2020-05-18 |
| Authorized Official Name | LUCY FAJARDO (OWNER) |
| Authorized Official Telephone | 7027787440 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251E00000X | Home Health | Agencies | ||
| N | 253Z00000X | In Home Supportive Care | Agencies | ||
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| N | 374U00000X | Home Health Aide | Nursing Service Related Providers | ||
| N | 385H00000X | Respite Care | Respite Care Facility | ||
| Y | 376J00000X | Homemaker | Nursing Service Related Providers |
| Street Address |
517 COUNT AVE |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-8630 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013518901 | Elizabeth Montgomery | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2020-11-05 |
| 1487261103 | Rosa Isela Acosta | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2020-09-27 |
| 1386254605 | Kayla Ann Durr | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2020-08-01 |
| 1891319158 | Luz Cuadros | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2020-06-02 |
| 1831734102 | Benjamin Mccarty | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2019-11-11 |
| 1801443957 | Roberta Monreal | Chore Provider | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2019-08-23 |
| 1154981512 | Taliilagi Tafaoimalo | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2019-06-18 |
| 1376103945 | Cindy Raguindin | Technician | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2019-06-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 376J00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Homemaker |
| An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards. |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962037747 | Kyle Broyard | Homemaker | 3853 Hollycroft Dr, North Las Vegas, NV 89081-6636 | 2020-03-11 |
| 1164079794 | Therese Elizabeth Milford | Homemaker | 2110 Heroic Hills Ln, North Las Vegas, NV 89032-4846 | 2019-08-19 |
| 1457811424 | Melinda Marie Minor | Homemaker | 1838 Harvard St Apt B, North Las Vegas, NV 89030-6781 | 2019-03-25 |
| 1528513876 | Bridget Henderson | Homemaker | 6117 Kitamaya St, North Las Vegas, NV 89031-1764 | 2016-08-16 |
| 1073068482 | Lisa Mitchell | Homemaker | 6117 Kitamaya St, North Las Vegas, NV 89031-1764 | 2016-08-16 |
| 1063889459 | Elsube LLC | Homemaker | 417 Foxvale Ave, North Las Vegas, NV 89032-6150 | 2015-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992312995 | Darshae Latoi Pierce | Homemaker | 3175 E Warm Springs Rd Ste 110, Las Vegas, NV 89120-3137 | 2020-09-24 |
| 1417562331 | Megan Suzanne Taylor | Homemaker | 7914 Rosellen Ave, Las Vegas, NV 89147-5079 | 2020-09-09 |
| 1801425368 | Circle of Life Inc. | Homemaker | 5201 Mountain View Dr, Las Vegas, NV 89146-1422 | 2020-04-06 |
| 1053948547 | Comfort At Home Personal Care Assistance Corp | Homemaker | 1500 E Tropicana Ave Ste 157, Las Vegas, NV 89119-6516 | 2020-03-24 |
| 1992343123 | Asley Yasmany Rodriguez-fuentes | Homemaker | 3225 S Pecos Rd Apt 284, Las Vegas, NV 89121-2340 | 2019-12-18 |
| 1770126120 | Elizabeth Kay | Homemaker | 1575 Franklin Ln, Boulder City, NV 89005-1719 | 2019-10-17 |
| 1225679384 | Sharifa G Wahab | Homemaker | 9680 W Tropicana Ave # Sit142, Las Vegas, NV 89147-8245 | 2019-09-30 |
| 1912558024 | Laura Hodge | Homemaker | 195 Nicole Dr, Sparks, NV 89436-8907 | 2019-09-20 |
| 1174173330 | Jacqueline L Troche | Homemaker | 469 Shadow Ln, Fernley, NV 89408-8543 | 2019-09-18 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
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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.