FAMILY HEALTHCARE DUAL DIAGNOSIS (NPI# 1629678354) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629678354 |
| Entity Type | Organization |
| Organization Name | FAMILY HEALTHCARE DUAL DIAGNOSIS |
| Practice Address |
6656 Majestic Pearl Pl North Las Vegas NV 89084-1219 |
| Practice Telephone | 7252207903 |
| Mailing Telephone | 7252207903 |
| Enumeration Date | 2020-10-30 |
| Last Update Date | 2020-11-01 |
| Authorized Official Name | MRS. LAQUITA MICHELLE BROOKS (OWNER) |
| Authorized Official Telephone | 7252207903 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 172V00000X | Community Health Worker | Other Service Providers |
| Street Address |
6656 MAJESTIC PEARL PL |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89084-1219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275016677 | Donna Faye Bonner | Technician | 121 Elks Peak Ave., 121 Elks Peak Ave, N. Las Vegas, NV 89084 | 2018-09-11 |
| 1376047662 | Dolly Leticia Diaz | Technician | 7133 Weavers Pl, North Las Vegas, NV 89084 | 2018-03-21 |
| 1649771841 | May Ruth Byrd | Chore Provider | 6638 Cinnabar Coast Lane, Las Vegas, NV 89084 | 2018-02-22 |
| 1841718541 | Tori Tobin | Occupational Therapist | 2550 Nature Park Drive, Ste. 180, North Las Vegas, NV 89084 | 2017-09-01 |
| 1568989986 | Necole Ealy | Day Training/Habilitation Specialist | 6905 Auklet Ln, N Las Vegas, NV 89084 | 2017-08-25 |
| 1871031906 | Mvp Primary Care LLC | Registered Nurse | 6935-104 Aliante Parkway, #509, North Las Vegas, NV 89084 | 2017-02-09 |
| 1679932743 | Melissa Brown | Occupational Therapist | 29 Chastain Park Drive, North Las Vegas, NV 89084 | 2016-02-18 |
| 1598163636 | Taylor Briana Mitchell | Behavioral Analyst | 6929 Puetollano Drive, North Las Vegas, NV 89084 | 2014-12-05 |
| 1801229240 | Faith Thomas | Behavioral Analyst | 634 W Lava Beds Wy, North Las Vegas, NV 89084 | 2013-08-20 |
| 1497028401 | Cornell Williams | Rehabilitation Practitioner | 6616 Lavender Lilly Ln #1, N. Las Vegas, NV 89084 | 2012-02-22 |
| Find all providers in zip 89084 | ||||
| Taxonomy Code | 172V00000X |
| Grouping | Other Service Providers |
| Classification | Community Health Worker |
| Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC §1616 (l) under HHS, Indian Health Service, Public Health Service. |
| Notes: Source: Health Resources and Services Administration, US Department of Health and Human Services – National Workforce Study on Community Health Workers, March, 2007. [7/1/2007: new] http://bhpr.hrsa.gov/healthworkforce/chw/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548688 | Sequoia Jackson | Community Health Worker | 5135 Camino Al Norte Ste 230, North Las Vegas, NV 89031-2391 | 2020-11-03 |
| 1639714512 | Tanisha Thomas | Community Health Worker | 828 Camden Yard Ct, North Las Vegas, NV 89030-4777 | 2019-11-14 |
| 1508368564 | Nina Sharee Griffin | Community Health Worker | 4650 Ranch House Rd Unit 64, North Las Vegas, NV 89031-4613 | 2018-03-06 |
| 1881122703 | Solutions for Change LLC | Community Health Worker | 3925 N Mlk Blvd Ste 218, North Las Vegas, NV 89032 | 2017-05-24 |
| 1942742424 | Nicole Simone Shelton | Community Health Worker | 1406 Basin Brook Dr, North Las Vegas, NV 89032-7850 | 2016-11-15 |
| 1508308636 | Lakisha Johnson | Community Health Worker | 3940 Scott Robinson Blvd Apt 1094, North Las Vegas, NV 89032-7875 | 2016-11-07 |
| 1194118455 | Darrell Ballard | Community Health Worker | 4104 Herblinda Ln, North Las Vegas, NV 89032-2707 | 2015-03-11 |
| 1942587548 | Confuzion52 | Community Health Worker | 531 Blackbird Knoll Ct, North Las Vegas, NV 89084-1316 | 2011-11-09 |
| 1679873137 | Melinda Sallis | Community Health Worker | 4100 N Martin Luther King Blvd, Suite 100, North Las Vegas, NV 89032 | 2010-10-29 |
| 1265742712 | Renee Antoinette Walden | Community Health Worker | 4100 N Martin L King Blvd, Suite 100, North Las Vegas, NV 89032-0293 | 2010-10-18 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89084 |
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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.