CANDACE LEE ROSHON (NPI# 1558994806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558994806 |
| Entity Type | Individual |
| Full Name | CANDACE LEE ROSHON |
| Practice Address |
203 Fisher Ln # 8 Indian Springs NV 89018-0279 |
| Practice Telephone | 7255023758 |
| Mailing Telephone | 7255023758 |
| Enumeration Date | 2020-02-14 |
| Last Update Date | 2020-02-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372500000X | Chore Provider | NV | Nursing Service Related Providers | |
| N | 3747A0650X |
Technician Specialization: Attendant Care Provider |
NV | Nursing Service Related Providers | |
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
NV | Nursing Service Related Providers | |
| N | 376J00000X | Homemaker | NV | Nursing Service Related Providers |
| Street Address |
203 FISHER LN # 8 |
| City | INDIAN SPRINGS |
| State | NV |
| Zip Code | 89018-0279 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342205 | Hope Helping Others Purse Elevation | Community/Behavioral Health | 420 Sky Rd, Unit 31, Indian Springs, NV 89018 | 2018-07-16 |
| 1003306663 | Christina Joy Mason | Counselor | 775 E Winston, Indian Springs, NV 89018 | 2018-05-18 |
| 1841679693 | Irma Prettenhofer | Rehabilitation Practitioner | 310 Boulder Lane, Indian Springs, NV 89018 | 2015-05-27 |
| 1821410614 | Donna Michelle Judd | Counselor | 400 Sky Road, Indian Springs, NV 89018 | 2014-01-13 |
| 1942439476 | Creech Aid Station | Clinic/Center | 2d Street Bldg #54, Indian Springs, NV 89018 | 2009-07-06 |
| 1306080296 | James Christopher Pennington | Emergency Medical Technician, Paramedic | Bldg 1032 Creech Afb, Cafb Medical Aid Station, Indian Springs, NV 89018 | 2009-04-23 |
| 1104020668 | Lee Jonathan Marven | Independent Medical Examiner | Cold Creek Road Hwy 95, Southern Desert Correctional Center, Indian Springs, NV 89018 | 2007-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508342205 | Hope Helping Others Purse Elevation | Community/Behavioral Health | 420 Sky Rd, Unit 31, Indian Springs, NV 89018 | 2018-07-16 |
| 1003306663 | Christina Joy Mason | Counselor | 775 E Winston, Indian Springs, NV 89018 | 2018-05-18 |
| 1841679693 | Irma Prettenhofer | Rehabilitation Practitioner | 310 Boulder Lane, Indian Springs, NV 89018 | 2015-05-27 |
| 1821410614 | Donna Michelle Judd | Counselor | 400 Sky Road, Indian Springs, NV 89018 | 2014-01-13 |
| 1003119389 | Regina Nkomo Moyo | Counselor | 290 Valley View Rd, Indian Springs, AL 35124-3645 | 2010-12-08 |
| 1942439476 | Creech Aid Station | Clinic/Center | 2d Street Bldg #54, Indian Springs, NV 89018 | 2009-07-06 |
| 1306080296 | James Christopher Pennington | Emergency Medical Technician, Paramedic | Bldg 1032 Creech Afb, Cafb Medical Aid Station, Indian Springs, NV 89018 | 2009-04-23 |
| 1104020668 | Lee Jonathan Marven | Independent Medical Examiner | Cold Creek Road Hwy 95, Southern Desert Correctional Center, Indian Springs, NV 89018 | 2007-06-11 |
| 1396954988 | Kenneth Owen Friday | Dentist | 5323 Mountain Park Cir, Indian Springs, AL 35124-3043 | 2007-05-21 |
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
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|---|---|---|---|---|
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| 1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
| 1427657196 | Hector Querubin | Technician | 5400 S Maryland Pkwy Apt 165, Las Vegas, NV 89119-2642 | 2020-10-22 |
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
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| Find all providers with the same taxonomy | ||||
| City | INDIAN SPRINGS |
| Zip Code | 89018 |
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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.