BERNADETTE QUIRANTE MUNDON


Address: 2624 S Lamb Blvd, Trailer 117, Las Vegas, NV 89121-1836
Phone: 7022403800

BERNADETTE QUIRANTE MUNDON (NPI# 1588275309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1588275309
Entity Type Individual
Full Name BERNADETTE QUIRANTE MUNDON
Practice Address 2624 S Lamb Blvd
Trailer 117
Las Vegas
NV 89121-1836
Practice Telephone 7022403800
Enumeration Date 2020-08-14
Last Update Date 2020-08-14
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 3747A0650X Technician
Specialization: Attendant Care Provider
Nursing Service Related Providers
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers
N 376J00000X Homemaker Nursing Service Related Providers
N 385H00000X Respite Care Respite Care Facility

Office Location

Street Address 2624 S LAMB BLVD
TRAILER 117
City LAS VEGAS
State NV
Zip Code 89121-1836

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Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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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NPI Name Taxonomy Address Enumeration
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Competitor

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City LAS VEGAS
Zip Code 89121

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Dataset Information

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.

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