NOVA HEALTHCARE GROUP LLC (NPI# 1548754690) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548754690 |
| Entity Type | Organization |
| Organization Name | NOVA HEALTHCARE GROUP LLC |
| Other Organization Name | NOVA HEALTHCARE GROUP |
| Practice Address |
7017 S Buffalo Dr Apt 1131 Las Vegas NV 89113-4099 |
| Mailing Address |
173 Water Hazard Ln Las Vegas NV 89148-5261 |
| Practice Telephone | 7023364611 |
| Mailing Telephone | 7023364611 |
| Enumeration Date | 2018-06-20 |
| Last Update Date | 2019-02-11 |
| Authorized Official Name | MS. ANNELEISA MCDONALD (OWNER) |
| Authorized Official Telephone | 7027488228 |
| Authorized Official Credential | APRN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
002927 | NV | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1760723092 | 05 |
| Other Name | Type Code |
|---|---|
| Nova Healthcare Group | Former Legal Business Name - Organization |
| Nova Transitional Care | Doing Business As Name - Organization |
| Street Address |
7017 S BUFFALO DR APT 1131 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89113-4099 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760723092 | Anneleisa Gail Mcdonald | Registered Nurse | 7017 S Buffalo Dr Apt 1131, Las Vegas, NV 89113-4099 | 2013-03-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951121 | Trang Thu Tran | Pharmacist | 7200 Arroyo Crossing Parkway, Las Vegas, NV 89113 | 2020-10-30 |
| 1457966293 | Cory Alexander Stattelman | Physical Medicine & Rehabilitation | 5575 N Durango Dr Suite 111, Las Vegas, NV 89113 | 2020-09-09 |
| 1477170801 | Hailey Eileen Wilson | Behavior Technician | 5575 S Durango Dr #102, Las Vegas, NV 89113 | 2020-07-01 |
| 1295385078 | Dominica Zaragoza | Technician | 711 S. Durango Dr, Las Vegas, NV 89113 | 2019-09-13 |
| 1831742758 | Lyass PC A Professional Medical Corp | Clinic/Center | 5950 S. Durgango Dr, Suite 100, Las Vegas, CA 89113 | 2019-07-19 |
| 1932679529 | Kiara Hayden | Rehabilitation Practitioner | 5509 Lonesome Biker Lane, Las Vegas, NV 89113 | 2018-11-27 |
| 1437631876 | James Eugene Hightower | Community Health Worker | 7455 Arroyo Crossing Pkwy Suite 220, Las Vegas, NV 89113 | 2018-09-01 |
| 1356822282 | Warda Ali | Nurse Practitioner | 8738 Pinley Spring St, Las Vegas, NV 89113 | 2018-08-28 |
| 1063992949 | Endure Recovery Services LLC | Counselor | 3087 E. Warm Srpings, Suite 200, Las Vegas, NV 89113 | 2018-08-20 |
| 1134635097 | Mivip Regional Surgery Center | Clinic/Center | 5950 S Durango Dr Ste 101, Las Vegas, NV 89113 | 2017-12-14 |
| Find all providers in zip 89113 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326649468 | Mary Denisse Toribio | Nurse Practitioner | 138 Lomita Heights Dr, Las Vegas, NV 89138-6158 | 2020-11-05 |
| 1407315344 | Delfina Simpson | Nurse Practitioner | 8680 W Warm Springs Rd Ste 155, Las Vegas, NV 89148-1828 | 2019-03-19 |
| 1801362942 | Mary Ann Lorenzo Enriquez | Nurse Practitioner | 6870 S Rainbow Blvd Ste 107, Las Vegas, NV 89118-2107 | 2018-10-16 |
| 1164901245 | Jasmina Santos Fornbacher | Nurse Practitioner | 7325 S Pecos Rd Ste 102, Las Vegas, NV 89120-3768 | 2018-08-09 |
| 1275037517 | Mary Manoharan | Nurse Practitioner | 1240 N Mlk Blvd, Las Vegas, NV 89106-2825 | 2018-03-21 |
| 1487192308 | Hannah Harris-austin | Nurse Practitioner | 494 Redruth Dr, Las Vegas, NV 89178-1244 | 2017-02-11 |
| 1275908444 | Theophilus Mbi Akoh | Nurse Practitioner | 2831 Business Park Ct Ste 110, Las Vegas, NV 89128-9000 | 2015-12-14 |
| 1245625284 | Diversified Health Care Services LLC | Nurse Practitioner | 4550 W Oakey Blvd Ste 111-n, Las Vegas, NV 89102-1581 | 2015-04-06 |
| 1114270899 | Karissa Tan | Nurse Practitioner | 4750 W Oakey Blvd Ste 2b, Las Vegas, NV 89102-1535 | 2012-10-18 |
| 1053690362 | Yamilka Castillo Gongora | Nurse Practitioner | 4275 Burnham Ave Ste 210, Las Vegas, NV 89119-5400 | 2011-08-04 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on NOVA HEALTHCARE GROUP LLC.
| 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.