CARL HACKETT (NPI# 1538675681) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538675681 |
| Entity Type | Individual |
| Full Name | CARL HACKETT |
| Practice Address |
1516 E Tropicana Ave Ste 130 Las Vegas NV 89119-6552 |
| Practice Telephone | 7029098442 |
| Mailing Telephone | 7029098442 |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225400000X | Rehabilitation Practitioner | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
1516 E TROPICANA AVE STE 130 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89119-6552 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245746643 | Daniel White II | Rehabilitation Practitioner | 1516 E Tropicana Ave Ste 130, Las Vegas, NV 89119-6552 | 2017-12-20 |
| 1720601024 | Total Health & Wellness Medical Center LLC | Family Medicine | 1516 E Tropicana Ave Ste 130, Las Vegas, NV 89119-6552 | 2020-05-20 |
| 1114540515 | Roscoe Mcmillan | Nurse Practitioner | 1516 E Tropicana Ave Ste 130, Las Vegas, NV 89119-6552 | 2020-05-20 |
| 1649775727 | Dandelion Behavioral Health Corp | Community/Behavioral Health | 1516 E Tropicana Ave Ste 130, Las Vegas, NV 89119-6552 | 2018-03-29 |
| 1457859928 | Michelle L Jimenez | Rehabilitation Practitioner | 1516 E Tropicana Ave Ste 130, Las Vegas, NV 89119-6552 | 2018-01-30 |
| 1487160891 | Keith C Riley | Rehabilitation Practitioner | 1516 E Tropicana Ave Ste 130, Las Vegas, NV 89119-6552 | 2017-12-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669089298 | Jennifer Chavon Cruse | Technician | [email protected], 1775 East Tropicana Avenue 16-b, Las Vegas, NV 89119 | 2020-09-28 |
| 1063024214 | Rosa Isela Martinez Gonzalez | Technician | 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 | 2020-08-19 |
| 1720697980 | Christian Scott | Social Worker | 4055 Spencer St #118, Las Vegas, NV 89119 | 2020-07-23 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1215562376 | Phyllis Eberechukwu Hunt | Adult Companion | 5160 Tamarus St Appt 17, Las Vegas, NV 89119 | 2020-03-10 |
| 1841832581 | Legna Carrillo | Adult Companion | 4325 South Bruce St Appt 63, Las Vegas, NV 89119 | 2019-10-15 |
| 1104468339 | Alma Leticia Salazar | Home Health Aide | Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-b, Las Vegas, NV 89119 | 2019-10-09 |
| 1083260046 | Araceli Rosas Vargas | Technician | 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 | 2019-08-15 |
| 1376197707 | Bristure Clayton | Technician | Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 | 2019-07-24 |
| 1457904534 | Carmen Laura Gonzalez Valenzuela | Chore Provider | 6725-1 S. Eastern Ave, Las Vegas, NV 89119 | 2019-07-18 |
| Find all providers in zip 89119 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350773 | Guiselle Maria Alvarez-delarosa | Case Manager/Care Coordinator | 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 | 2020-09-11 |
| 1477163467 | Chanel M. King | Case Manager/Care Coordinator | 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 | 2020-08-04 |
| 1912517251 | Jeffrey Hoge | Case Manager/Care Coordinator | 6644 Beacon Rd, Las Vegas, NV 89108-5390 | 2020-08-02 |
| 1992331698 | Angela E Oesterle | Case Manager/Care Coordinator | 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 | 2020-03-13 |
| 1336774330 | Taizha Howard | Case Manager/Care Coordinator | 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 | 2020-03-10 |
| 1043858863 | Stephanie Marie Sifuentes-smith | Case Manager/Care Coordinator | 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 | 2019-12-11 |
| 1932741022 | Deidre Fawn Cleaver | Case Manager/Care Coordinator | 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 | 2019-10-10 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1770132797 | Anna Rose Andrews | Case Manager/Care Coordinator | 3436 Wasatch Cedars St, Las Vegas, NV 89122-3574 | 2019-09-11 |
| 1952954018 | Denise Ratliff | Case Manager/Care Coordinator | 4937 Dunkirk Ave, Las Vegas, NV 89121-7042 | 2019-07-18 |
| 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.