LAS VEGAS OUTPATIENT REHABILITATION CORPORATION (NPI# 1407115546) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407115546 |
| Entity Type | Organization |
| Organization Name | LAS VEGAS OUTPATIENT REHABILITATION CORPORATION |
| Practice Address |
534 S Decatur Blvd Las Vegas NV 89107-3931 |
| Practice Telephone | 7028225814 |
| Practice Fax Number | 7028225816 |
| Mailing Telephone | 7028225814 |
| Mailing Fax Number | 7028225816 |
| Enumeration Date | 2012-05-10 |
| Last Update Date | 2014-04-24 |
| Authorized Official Name | DELSA DAGALEA (CLINIC ADMINISTRATOR) |
| Authorized Official Telephone | 7028225814 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2279P1005X |
Respiratory Therapist, Registered Specialization: Pulmonary Rehabilitation |
RC651 | NV | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
TRN302247 | NV | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215225834 | Las Vegas Outpatient Rehabilitation Corporation | Respiratory Therapist, Certified | 534 S Decatur Blvd, Las Vegas, NV 89107-3931 | 2011-07-17 |
| Street Address |
534 S DECATUR BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89107-3931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215225834 | Las Vegas Outpatient Rehabilitation Corporation | Respiratory Therapist, Certified | 534 S Decatur Blvd, Las Vegas, NV 89107-3931 | 2011-07-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942837620 | Dominica Marie Lemay | Technician | Ideal Staffing Inc 500 N Rainbow Blvd Ste 300 Las Vegas, Las Vegas, NV 89107 | 2020-03-24 |
| 1417589854 | Ciro Zuniga | Technician | 5020 Alta Dr Suit-b, Las Vegas, NV 89107 | 2020-02-04 |
| 1730729252 | Natalie Rochelle Ross | Technician | Ideal Staffing Inc N Rainbow Blvd Ste 300 Las Vegas, Nv, Las Vegas, NV 89107 | 2020-01-13 |
| 1679112148 | Cynthia Mayen | Technician | 2050 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2020-01-02 |
| 1427695543 | Aaa Physical Therapy LLC | Clinic/Center | 633 N. Decatur Blvd., Suite E, Las Vegas, NV 89107 | 2019-12-09 |
| 1063061018 | Guaoalupe Pena | Technician | 5020 Alta Dr. Suit - B, Las Vegas, NV 89107 | 2019-09-11 |
| 1275180234 | Roman Bautista Ortiz | Technician | 5020 Alta Dr. Suit-b, Las Vegas, NV 89107 | 2019-08-23 |
| 1518513357 | Michele Renee Black | Chore Provider | 500 North Rainbow Boulevard, Suite 300, Las Vegas, NV 89107 | 2019-08-16 |
| 1124674312 | Helena Alma Ferron-zepeda | Technician | 5020 Alta Dr., Suite-b, Las Vegas, NV 89107 | 2019-08-13 |
| 1386299246 | Felecia Ann Goodwin | Technician | 500 N Rainbow Blvd Ste 300, Ideal Staffing Inc, Las Vegas, NV 89107 | 2019-08-07 |
| Find all providers in zip 89107 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598012809 | Grace Valenton Esguerra | Registered Nurse | 7701 Carmen Boulevard, Las Vegas, NV 89128 | 2012-08-07 |
| 1073782843 | Catherine Marie Duren | Registered Nurse | 8501 W University Ave Unit 1064, Las Vegas, NV 89147-6163 | 2008-02-26 |
| 1114349453 | Janice Richardson | Registered Nurse | 400 Shadow Ln Ste 106, Las Vegas, NV 89106-4355 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700341153 | Delia Cabitac | Registered Nurse | 935 Manzanita Ln, Reno, NV 89509-5304 | 2019-02-08 |
| 1720319320 | Marcille Jorgenson | Registered Nurse | 1361 Cadence St, Henderson, NV 89052-6479 | 2010-01-20 |
| 1932329216 | Joel L Bowers | Registered Nurse | Nv State Hwy 225, Owyhee, NV 89832 | 2007-04-27 |
Please comment or provide details below to improve the information on LAS VEGAS OUTPATIENT REHABILITATION CORPORATION.
| 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.