GERARDO A MARIANO (NPI# 1366001950) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366001950 |
| Entity Type | Individual |
| Full Name | GERARDO A MARIANO |
| Practice Address |
4462 Farmcrest Dr Las Vegas NV 89121-4906 |
| Practice Telephone | 7024332879 |
| Mailing Telephone | 7024332879 |
| Mailing Fax Number | 7024332879 |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2019-06-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
297-AGC-32 | NV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 260502327 | 05 |
| Street Address |
4462 FARMCREST DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-4906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644630 | Patrick Da'von Porter | Assisted Living Facility | 4975 Duneville St Apt 325, Las Vegas, NV 89118-1272 | 2020-03-14 |
| 1841855319 | Rainbow Adult Care LLC | Assisted Living Facility | 1823 Belcastro St, Las Vegas, NV 89117-2103 | 2019-05-09 |
| 1275026965 | Helping Hands Care Home II | Assisted Living Facility | 11745 Stonewall Springs Ave, Las Vegas, NV 89138-1577 | 2018-06-07 |
| 1396081477 | Faith Shari Group Home | Assisted Living Facility | 3364 Rosario Cir, Las Vegas, NV 89121-2397 | 2012-12-18 |
| 1902175144 | Cgl Group Corp | Assisted Living Facility | 1900 Eliminator Dr, Las Vegas, NV 89146-1136 | 2011-12-16 |
| 1043511132 | Mijn Corporation | Assisted Living Facility | 3933 Captain Jon Ave, Las Vegas, NV 89104-5024 | 2010-11-05 |
| 1730726704 | Palma Holdings LLC | Assisted Living Facility | 100 S 14th St, Las Vegas, NV 89101 | 2019-12-09 |
| 1457995813 | Grace Wellness Center LLC | Assisted Living Facility | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2019-10-29 |
| 1770133118 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3970 Maryland Ave, Las Vegas, NV 89121-4559 | 2019-09-18 |
| 1023667276 | Gge Enterprises LLC | Assisted Living Facility | 3970 Maryland Ave, Las Vegas, NV 89121-4559 | 2019-09-10 |
| 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.