THE GATEWAY CENTER LAS VEGAS, LLC (NPI# 1609285014) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609285014 |
| Entity Type | Organization |
| Organization Name | THE GATEWAY CENTER LAS VEGAS, LLC |
| Practice Address |
74 N Pecos Rd Suite C Henderson NV 89074-7343 |
| Practice Telephone | 7027784500 |
| Practice Fax Number | 7027783500 |
| Mailing Telephone | 7027784500 |
| Mailing Fax Number | 7027783500 |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |
| Authorized Official Name | MEREDITH MILNE STILL (DIRECTOR OF HUMAN RESOURCES) |
| Authorized Official Telephone | 7024200919 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0700X |
Clinic/Center Specialization: Hearing and Speech |
NV20141465166 | NV | Ambulatory Health Care Facilities |
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
NV20141465166 | NV | Ambulatory Health Care Facilities |
| Street Address |
74 N PECOS RD SUITE C |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-7343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316353295 | Hilary Cline | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2014-07-11 |
| 1215460464 | Myra Maldonado | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2017-04-05 |
| 1033659065 | Thomas Mcpartland | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2017-02-23 |
| 1235675026 | Christian Paskevicius | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2017-01-17 |
| 1326583139 | Erwin Pascua | Behavior Technician | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2017-01-03 |
| 1023552163 | Amy Villarreal | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2016-12-08 |
| 1205370350 | Brittany Hovey | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2016-12-08 |
| 1457894891 | Natasha Nettles | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2016-12-01 |
| 1174065528 | Ana Beltran Pantoja | Behavior Technician | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2016-11-15 |
| 1497206502 | Lex Andrei Cecilio | Behavioral Analyst | 74 N Pecos Rd, Suite C, Henderson, NV 89074-7343 | 2016-10-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164072427 | Community Placements of Nevada LLC | Clinic/Center | 9065 S Pecos Rd Ste 270, Henderson, NV 89074-7189 | 2019-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346585528 | Shari Tranee Robertson | Clinic/Center | 1915 Simmons St #1016, Las Vegas, NV 89106 | 2012-11-29 |
| 1790108264 | Johanna S. Fricke, M.d., LLC | Clinic/Center | 311 N Buffalo Dr, Suite B, Las Vegas, NV 89145-0375 | 2014-02-03 |
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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.