CANDY PEMBERTON (NPI# 1497117832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497117832 |
| Entity Type | Individual |
| Full Name | CANDY PEMBERTON |
| Practice Address |
6255 W Tropicana Ave Apt 343 Las Vegas NV 89103-4603 |
| Mailing Address |
6255 W Tropicana Ave Las Vegas NV 89103-4603 |
| Practice Telephone | 4154299646 |
| Enumeration Date | 2016-03-24 |
| Last Update Date | 2016-03-24 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
6255 W TROPICANA AVE APT 343 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89103-4603 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417377037 | Ebony Beard | Behavioral Analyst | 6255 W Tropicana Ave, Apt. 400, Las Vegas, NV 89103-4603 | 2014-04-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043821671 | New Directions LLC | Counselor | 3651 S Lindell Dr, Ste D15 B, Las Vegas, NV 89103 | 2020-08-17 |
| 1396356929 | A-plus Community Counseling Services LLC | Counselor | 3651 S Lindell Dr Ste D15, Las Vegas, NV 89103 | 2020-08-17 |
| 1437798931 | Las Vegas Diagnostic & Treatment LLC | Neuromusculoskeletal Medicine & OMM | Dpm, 5650 W Flamingo Rd Ste A, Las Vegas, NV 89103 | 2019-12-31 |
| 1033769385 | Maria Yemi Centeno | Technician | 4674 Via Torino, Las Vegas, NV 89103 | 2019-09-18 |
| 1750847869 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 3821 W Flamingo Rd, Las Vegas, NV 89103 | 2019-02-13 |
| 1447741905 | Adgold Medical Corp | Durable Medical Equipment & Medical Supplies | 3651 Lindell Rd Ste D536, Las Vegas, NV 89103 | 2018-05-21 |
| 1184138620 | Kiley Ballew | Social Worker | 4425 South Jones, Suite D3, Las Vegas, NV 89103 | 2017-11-20 |
| 1396275988 | Karen Walton | Technician | 5419 W. Tropicana Ave. A2803, Las Vegas, NV 89103 | 2017-06-15 |
| 1760923643 | Shannon-dorothy Austria | Social Worker | 4425 S. Jones, Suite D3, Las Vegas, NV 89103 | 2017-03-13 |
| 1306260583 | Ladonna Smith | Behavioral Analyst | 1126 Tamerck Ave, Las Vegas, NV 89103 | 2014-02-10 |
| Find all providers in zip 89103 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235520867 | Globalcat Health & Hit Consulting | Nursing Facility/Intermediate Care Facility | 9176 Umberland Ave, Las Vegas, NV 89149-3029 | 2015-02-18 |
| 1659545648 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 5555 Baker Bowl Ct, Las Vegas, NV 89148-4630 | 2008-04-22 |
| 1558497784 | Gaye Haven Intermediate Care Fac | Nursing Facility/Intermediate Care Facility | 1813 Betty Lane, Las Vegas, NV 89156-6728 | 2007-02-23 |
| 1043200454 | Brookhaven Nursing Home | Nursing Facility/Intermediate Care Facility | 813 4th St, Las Vegas, NM 87701-4422 | 2005-10-26 |
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1992707806 | Eljen Medical Hospital | Nursing Facility/Intermediate Care Facility | 5538 Duncan Dr, Las Vegas, NV 89130-2812 | 2005-08-10 |
| 1215364922 | Jewel Deguzman | Nursing Facility/Intermediate Care Facility | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2013-09-27 |
| 1831494673 | Mojave Mental Health | Nursing Facility/Intermediate Care Facility | 4000 E Charleston Blvd, Ste 230, Las Vegas, NV 89104-6659 | 2011-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184607632 | Preferred Care West II Inc | Nursing Facility/Intermediate Care Facility | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 | 2005-11-29 |
| 1083612741 | State of Nevada | Nursing Facility/Intermediate Care Facility | 100 Veterans Memorial Drive, Boulder City, NV 89005 | 2005-07-07 |
| 1922491505 | Parkway Recovery Care Center, LLC | Nursing Facility/Intermediate Care Facility | 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 | 2015-03-06 |
| 1174766687 | Vetreran Affairs Administration | Nursing Facility/Intermediate Care Facility | 1000 Locust Street, Reno, NV 89520 | 2009-04-14 |
| 1598974487 | Preferred Care West II Inc | Nursing Facility/Intermediate Care Facility | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 | 2007-05-21 |
| 1013132117 | Lincoln County Hospital District | Nursing Facility/Intermediate Care Facility | 700 North Spring Street, Caliente, NV 89008-1010 | 2007-04-16 |
| 1629191085 | Veterans Administration | Nursing Facility/Intermediate Care Facility | 1000 Locust St, Reno, NV 89502-2597 | 2007-04-09 |
| 1619091246 | Humboldt General Hospital | Nursing Facility/Intermediate Care Facility | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2007-03-19 |
| 1013094010 | Battle Mountain General Hospital | Nursing Facility/Intermediate Care Facility | 535 S Humboldt St, Battle Mountain, NV 89820-1988 | 2006-11-01 |
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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.