WEST COAST HEALTHCARE, LLC (NPI# 1437434321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437434321 |
| Entity Type | Organization |
| Organization Name | WEST COAST HEALTHCARE, LLC |
| Practice Address |
10217 Madison Grove Avenue Las Vegas NV 89166-5266 |
| Practice Telephone | 7027898096 |
| Practice Fax Number | 7024306698 |
| Mailing Telephone | 7027898096 |
| Mailing Fax Number | 7023808187 |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2016-11-03 |
| Authorized Official Name | MR. TRUMAN LORENZO THOMPSON (PRESIDENT) |
| Authorized Official Telephone | 7027898096 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 305S00000X | Point of Service | 1008178853-001 | NV | Managed Care Organizations |
| N | 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1008178853-001 | NV | Suppliers |
| Y | 261QR0208X |
Clinic/Center Specialization: Radiology, Mobile |
1008178853-001 | NV | Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WEST COAST HEALTHCARE, LLC | 10217 Madison Grove Ave, Las Vegas, NV 89166-5226 |
| Street Address |
10217 MADISON GROVE AVENUE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89166-5266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306121108 | Truman Lorenzo Thompson | Spec/Tech, Cardiovascular | 10217 Madison Grove Avenue, Las Vegas, NV 89166-5266 | 2011-10-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720621808 | Elena Rodriguez | Chore Provider | 5000 W Oakley Suite E-1, Las Vegas, NV 89166 | 2019-10-22 |
| 1245739218 | Shelvion Williams | Counselor | 10151 W Dorrell Ln, 2173, Las Vegas, NV 89166 | 2018-02-06 |
| 1770733941 | Lauren B Carter | Speech-Language Pathologist | 6643 Rego Park Ct, Las Vegas, NV 89166 | 2008-09-24 |
| 1639602683 | Nathan Ryan Fowler | Nurse Practitioner | 7516 Clifton Gardens St, Las Vegas, NV 89166-0101 | 2017-04-06 |
| 1710480843 | Sage Alexander Williams | Adult Companion | 9745 Grand Teton Dr Unit 89166, Las Vegas, NV 89166-1017 | 2018-03-15 |
| 1316176274 | Danielle Benscoter | Physical Therapist | 9745 Grand Teton Dr, #3099, Las Vegas, NV 89166-1017 | 2009-07-13 |
| 1962747964 | Ashton Caligone | Rehabilitation Practitioner | 9745 Grand Teton Dr, #2040, Las Vegas, NV 89166-1017 | 2012-12-01 |
| 1760746705 | Tiffany A Webster | Counselor | 10151 Dorrell Ln, Apt 1094, Las Vegas, NV 89166-1026 | 2012-06-25 |
| 1306284807 | Nicole Ward | Counselor | 10151 Dorrell Ln, Unit 1167, Las Vegas, NV 89166-1026 | 2013-06-06 |
| 1306347489 | Ashlee Godwin | Chore Provider | 10151 Dorrell Ln Unit 1017, Las Vegas, NV 89166-1027 | 2018-02-23 |
| Find all providers in zip 89166 | ||||
| Taxonomy Code | 261QR0208X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology, Mobile |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447893201 | Av Diagnostic Corporation | Clinic/Center | 3311 S Rainbow Blvd Ste 140, Las Vegas, NV 89146-6208 | 2019-10-24 |
| 1619339355 | Onsite 3d Imgaing | Clinic/Center | 7475 W Sahara Ave Ste 101, Las Vegas, NV 89117-2768 | 2016-03-22 |
| 1063530780 | Mobile Healthcare Services | Clinic/Center | 3230 E Flamingo Rd Ste 8, Las Vegas, NV 89121-4330 | 2007-03-27 |
| 1710033014 | Heart Technologies, Inc | Clinic/Center | 8010 W Sahara Ave Ste 235, Las Vegas, NV 89117-7911 | 2007-01-27 |
| 1538257662 | Professional Medical Services | Clinic/Center | 10241 Juniper Creek Ln, Las Vegas, NV 89145-8831 | 2006-10-11 |
| 1154366177 | Portable Medical Imaging of Nv LLC | Clinic/Center | 2490 Professional Court, Suite 110, Las Vegas, NV 89128-0835 | 2006-06-17 |
| 1396795969 | Acoustic Imaging Inc. | Clinic/Center | 6230 Mcleod Dr, Ste 140, Las Vegas, NV 89120-4049 | 2006-05-12 |
| 1780634550 | Sonic Imaging | Clinic/Center | 6230 Mcleod Drive, Ste 140, Las Vegas, NV 89120-4049 | 2006-05-11 |
| 1083692032 | Portable X Ray of Southern Nevada | Clinic/Center | 5488 Duncan Dr, Las Vegas, NV 89130-2812 | 2006-01-09 |
| 1730573270 | Us Mobile Imaging | Clinic/Center | 3320 N Buffalo Dr Ste 202, Las Vegas, NV 89129-7411 | 2015-03-23 |
| 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.