FIRST PERSON CARE CLINIC (NPI# 1407219611) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1407219611 |
Entity Type | Organization |
Organization Name | FIRST PERSON CARE CLINIC |
Other Organization Name | HUNTRIDGE TEEN CLINIC |
Practice Address |
2100 S Maryland Pkwy Suite 1 Las Vegas NV 89104-3230 |
Practice Telephone | 7027328776 |
Practice Fax Number | 7023692162 |
Mailing Telephone | 7027328776 |
Mailing Fax Number | 7023692162 |
Enumeration Date | 2016-04-04 |
Last Update Date | 2017-09-07 |
Authorized Official Name | MRS. ROXANA VALETON (CEO) |
Authorized Official Telephone | 7023808118 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 364SC1501X |
Clinical Nurse Specialist Specialization: Community Health/Public Health |
Physician Assistants & Advanced Practice Nursing Providers | ||
N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
N | 103K00000X | Behavioral Analyst | Behavioral Health & Social Service Providers | ||
N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
N | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers | ||
N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
N | 364SP0810X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Child & Family |
Physician Assistants & Advanced Practice Nursing Providers | ||
Y | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
Physician Assistants & Advanced Practice Nursing Providers |
Other Name | Type Code |
---|---|
Huntridge Teen Clinic | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780038257 | First Person Care Clinic | Dentist | 1200 S 4th St Ste 109, Las Vegas, NV 89104-1046 | 2016-04-20 |
1548804529 | First Person Care Clinic | Counselor | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2019-11-01 |
1710499264 | First Person Care Clinic | Social Worker | 200 E Horizon Dr, Henderson, NV 89015-8033 | 2017-10-24 |
1548629132 | First Person Care Clinic | Dentist | 1200 S 4th St, Suite 111, Las Vegas, NV 89104-1063 | 2016-02-11 |
1659612547 | First Person Care Clinic | Clinic/Center | 1200 S 4th St, Suite 111, Las Vegas, NV 89104-1046 | 2013-03-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | FIRST PERSON CARE CLINIC | 1200 S 4th St - Suite 111, Las Vegas, NV 89104-1046 |
Street Address |
2100 S MARYLAND PKWY SUITE 1 |
City | LAS VEGAS |
State | NV |
Zip Code | 89104-3230 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346579034 | Obteen N Nassiri | Chiropractor | 2100 S Maryland Pkwy, #8, Las Vegas, NV 89104-3225 | 2009-12-09 |
1376995779 | Lee Lincicome | Dental Hygienist | 2100 S Maryland Pkwy, Suite 5, Las Vegas, NV 89104-3230 | 2016-07-08 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
Find all providers in zip 89104 |
Taxonomy Code | 363LC1500X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164076873 | Monteray Sellers Deandre Mcgee | Nurse Practitioner | 916 W Owens Ave, Las Vegas, NV 89106-2516 | 2019-07-31 |
1023400652 | Copes Comfort Care Foundation | Nurse Practitioner | 1230 W Owens Ave Ste 6, Las Vegas, NV 89106-2451 | 2015-02-18 |
1790121978 | Patricia A Palmer | Nurse Practitioner | 930 N 4th St, Las Vegas, NV 89101-1001 | 2013-05-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598112278 | Lewis Health Solutions Inc. | Nurse Practitioner | 10120 S Eastern Ave Ste 203, Henderson, NV 89052-3926 | 2016-05-23 |
Please comment or provide details below to improve the information on FIRST PERSON CARE CLINIC.
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.