MR. CLEAUTRY H MCDANIEL JR. (NPI# 1497913420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497913420 |
| Entity Type | Individual |
| Full Name | MR. CLEAUTRY H MCDANIEL JR. |
| Practice Address |
501 S Rancho Dr #e33 Las Vegas NV 89106-4828 |
| Practice Telephone | 7044764987 |
| Practice Fax Number | 7025418377 |
| Mailing Telephone | 7044764987 |
| Mailing Fax Number | 7025418377 |
| Enumeration Date | 2008-05-27 |
| Last Update Date | 2008-05-27 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | FEDERAL TAX ID | 30-0474098 | 01 |
| Street Address |
501 S RANCHO DR #E33 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-4828 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487656823 | Integrity Home Health Care Inc | Home Health | 501 S Rancho Dr, Suite D21, Las Vegas, NV 89106-4828 | 2005-08-15 |
| 1013448489 | Addiction Recovery Centers Plc | Psychiatry & Neurology | 501 S Rancho Dr, Suite H-50, Las Vegas, NV 89106-4828 | 2017-03-27 |
| 1982023040 | Evolve | Community/Behavioral Health | 501 S Rancho Dr, Ste C-17, Las Vegas, NV 89106-4828 | 2014-04-15 |
| 1245667393 | Jennifer Lynn Cook | Chiropractor | 501 S Rancho Dr, Suite A-2, Las Vegas, NV 89106-4828 | 2013-10-03 |
| 1669714598 | Stanton Franklin Carroll | Surgery | 501 S Rancho Dr, Suite F-37, Las Vegas, NV 89106-4828 | 2013-03-18 |
| 1164773107 | Kara Olson | Speech-Language Pathologist | 501 S Rancho Dr, Ste D25, Las Vegas, NV 89106-4828 | 2012-10-01 |
| 1114280906 | Speech Therapy Associates | Speech-Language Pathologist | 501 S Rancho Dr, Suite I-60, Las Vegas, NV 89106-4828 | 2012-06-18 |
| 1972876100 | Pickle, Flp | Chiropractor | 501 S Rancho Dr, Las Vegas, NV 89106-4828 | 2012-02-19 |
| 1154610988 | Surgical Advisors Inc | Orthopaedic Surgery | 501 S Rancho Dr, Suite I-67, Las Vegas, NV 89106-4828 | 2011-04-01 |
| 1770814659 | Silverarc Apn | Nurse Practitioner | 501 S Rancho Dr, Suite H50, Las Vegas, NV 89106-4828 | 2010-01-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811595622 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 2500 W Washington Ave Ste 103, Las Vegas, NV 89106-3731 | 2020-10-14 |
| 1639793698 | Amador Medical LLC | Durable Medical Equipment & Medical Supplies | 4325 Dean Martin Dr Ste 340, Las Vegas, NV 89103-4168 | 2020-06-04 |
| 1205456001 | Vitality M12 LLC | Durable Medical Equipment & Medical Supplies | 4650 Arville St Ste F, Las Vegas, NV 89103-5325 | 2020-04-21 |
| 1255951059 | Peggy Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 6355 S Durango Dr Unit 1265, Las Vegas, NV 89113-1878 | 2020-04-21 |
| 1598394801 | Total Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 200 Hoover Ave Unit 1912, Las Vegas, NV 89101-6887 | 2020-04-07 |
| 1033743083 | Summerlin Medical | Durable Medical Equipment & Medical Supplies | 10300 W. Charleston Blvd., Suite 13, Las Vegas, NV 89135 | 2020-02-28 |
| 1053959791 | Wound Pros Nevada | Durable Medical Equipment & Medical Supplies | 5940 S Rainbow Blvd Ste 2007, Las Vegas, NV 89118-2506 | 2019-12-12 |
| 1841835618 | Home Front Pumps West | Durable Medical Equipment & Medical Supplies | 11239 Cactus Tower Ave Unit 101, Las Vegas, NV 89135-3449 | 2019-11-15 |
| 1568016855 | Medelite Capital, LLC | Durable Medical Equipment & Medical Supplies | 5528 S Fort Apache Rd, Las Vegas, NV 89148-7657 | 2019-07-25 |
| 1376004614 | Otto Bock Orthopedic Services LLC | Durable Medical Equipment & Medical Supplies | 2780 S Jones Blvd Ste 140, Las Vegas, NV 89146-5641 | 2019-03-28 |
| 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.