FIRST PERSON CARE CLINIC (NPI# 1548804529) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548804529 |
| Entity Type | Organization |
| Organization Name | FIRST PERSON CARE CLINIC |
| Practice Address |
1200 S 4th St Ste 111 Las Vegas NV 89104-1046 |
| Practice Telephone | 7023808118 |
| Practice Fax Number | 7023802929 |
| Mailing Telephone | 7023808118 |
| Mailing Fax Number | 7023802929 |
| Enumeration Date | 2019-11-01 |
| Last Update Date | 2019-11-01 |
| Authorized Official Name | RYAN ELLAZAR JACOB (COMPLIANCE DIRECTOR) |
| Authorized Official Telephone | 7023808118 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1548629132 | 05 | |
| NV | 1710499264 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 200 E Horizon Dr Ste A, Henderson, NV 890158031 | 7023808118 | 7023802929 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780038257 | First Person Care Clinic | Dentist | 1200 S 4th St Ste 109, Las Vegas, NV 89104-1046 | 2016-04-20 |
| 1710499264 | First Person Care Clinic | Social Worker | 200 E Horizon Dr, Henderson, NV 89015-8033 | 2017-10-24 |
| 1407219611 | First Person Care Clinic | Clinical Nurse Specialist | 2100 S Maryland Pkwy, Suite 1, Las Vegas, NV 89104-3230 | 2016-04-04 |
| 1548629132 | First Person Care Clinic | Dentist | 1200 S 4th St, Suite 111, Las Vegas, NV 89104-1063 | 2016-02-11 |
| 1659612547 | First Person Care Clinic | Clinic/Center | 1200 S 4th St, Suite 111, Las Vegas, NV 89104-1046 | 2013-03-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | FIRST PERSON CARE CLINIC | 1200 S 4th St - Suite 111, Las Vegas, NV 89104-1046 |
| Street Address |
1200 S 4TH ST STE 111 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-1046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497758197 | Kenneth Jarvis | Podiatrist | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2005-05-27 |
| 1487215141 | Janice C Owens | Nurse Practitioner | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2019-06-24 |
| 1861752701 | Ivonne Draughon | Nurse Practitioner | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2012-05-25 |
| 1205021474 | Minnie Elizabeth Wood | Registered Nurse | 1200 S 4th St Ste 111, Las Vegas, NV 89104-1046 | 2007-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881295848 | Renaissance Mental Health Corporation | Clinic/Center | 3663 E Sunset Rd Ste 201c, Las Vegas, NV 89120-3246 | 2020-11-05 |
| 1447866801 | Steadfast Behavioral Clinic LLC | Clinic/Center | 8612 Copper Knoll Ave, Las Vegas, NV 89129-7649 | 2020-09-21 |
| 1306450978 | Super Life Codes Foundation | Clinic/Center | 4276 Spring Mountain Rd Unit 214, Las Vegas, NV 89102-8781 | 2020-09-01 |
| 1194335554 | New Leaf Wellness & Behavioral Health LLC | Clinic/Center | 3430 E Flamingo Rd Ste 244, Las Vegas, NV 89121-5020 | 2020-07-31 |
| 1700495884 | Fmt Behavioral Health Services | Clinic/Center | 4170 S Decatur Blvd Ste A6, Las Vegas, NV 89103-5862 | 2020-07-24 |
| 1962011049 | Nevada Psychotherapy Practice LLC | Clinic/Center | 8766 S Maryland Pkwy Ste 105, Las Vegas, NV 89123-6701 | 2020-07-24 |
| 1346858024 | Fairclough Consulting Services, LLC | Clinic/Center | 9224 Tudor Park Pl, Las Vegas, NV 89145-8726 | 2020-07-17 |
| 1841818457 | Wellness Foundation | Clinic/Center | 9850 S Maryland Pkwy # 5-371, Las Vegas, NV 89183-7146 | 2020-07-09 |
| 1225656358 | Behavioral and Health Management LLC | Clinic/Center | 1500 E Tropicana Ave Ste 155, Las Vegas, NV 89119-6516 | 2020-07-06 |
| 1366069312 | Holding Onto Hope L.l.c | Clinic/Center | 2725 W Wigwam Ave Apt 2108, Las Vegas, NV 89123-6611 | 2020-06-25 |
| 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.