ADELE HOLSTON BREEDLOVE (NPI# 1649711383) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649711383 |
| Entity Type | Individual |
| Full Name | ADELE HOLSTON BREEDLOVE |
| Practice Address |
801 S Rancho Dr Suite E2b Las Vegas NV 89106-3854 |
| Practice Telephone | 7027715578 |
| Practice Fax Number | 7028370579 |
| Mailing Telephone | 7027715578 |
| Mailing Fax Number | 7028370579 |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | Other Service Providers |
| Street Address |
801 S RANCHO DR SUITE E2B |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89106-3854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457321549 | Donna Dyer Bar-navon | Psychologist | 801 S Rancho Dr, F-2, Las Vegas, NV 89106 | 2006-01-23 |
| 1033720115 | Shanell James | Behavioral Analyst | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2020-08-12 |
| 1194227215 | Maria Restivo | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-05 |
| 1538661871 | Precious Monique Bayliss | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-02 |
| 1063914323 | Monique Jovanna Hidalgo | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-02 |
| 1558863969 | Jacqueline Snipes | Technician | 801 S Rancho Dr, Las Vegas, NV 89106-3854 | 2018-03-01 |
| 1649722257 | Micah Schulte | Behavioral Analyst | 801 S Rancho Dr, Suite E3b, Las Vegas, NV 89106-3854 | 2016-10-30 |
| 1679024483 | Ava Victoria Albanese | Behavioral Analyst | 801 S Rancho Dr, Ste E3b, Las Vegas, NV 89106-3854 | 2016-10-17 |
| 1467905844 | Chante Monique William | Behavioral Analyst | 801 S Rancho Dr, Suite D2, Las Vegas, NV 89106-3854 | 2016-08-02 |
| 1639533201 | Aaron Williams Therapy LLC | Marriage & Family Therapist | 801 S Rancho Dr, Ste D-2, Las Vegas, NV 89106-3854 | 2016-04-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417555772 | Graciela Miranda Cocorpio | Technician | 820 Rancho Ln Suite #40, Las Vegas, NV 89106 | 2020-10-09 |
| 1679101679 | A Better You Wellness Center | Counselor | 320 W Monroe Street, Las Vegas, NV 89106 | 2020-03-27 |
| 1730725177 | Mariah La'neese Jones | Rehabilitation Practitioner | 400 Shadow Lane Ste 106, Las Vegas, NV 89106 | 2019-11-20 |
| 1417592841 | Lourdes Rita Apumayta-paredes | Technician | 820 Rancho Lane, Suite #40, Las Vegas, NV 89106 | 2019-11-08 |
| 1902456551 | Marisela Pena | Technician | 820 Rancho Ln., 25, Las Vegas, NV 89106 | 2019-09-16 |
| 1992368724 | Amber Nicole Mahajan | Nurse Practitioner | 2020 Wellness Way, Suite 300, Las Vegas, NV 89106 | 2019-04-17 |
| 1568924215 | Arlandrea Tarvins | Behavioral Analyst | 1048 Miller Ave, Las Vegas, NV 89106 | 2019-04-02 |
| 1427510361 | Erik Pennell | Student in an Organized Health Care Education/Training Program | 1542 Pinto Ln, 2nd Floor, Las Vegas, NV 89106 | 2019-04-01 |
| 1245702729 | Bruce Mark Babb | Technician | 820 Rancho Lane Ste #40, Las Vegas, NV 89106 | 2018-12-21 |
| 1639649213 | Antonio Ruiz Pelfort | Technician | 1951 Stella Lake St Suite 36, Las Vegas, NV 89106 | 2018-11-27 |
| Find all providers in zip 89106 | ||||
| Taxonomy Code | 171M00000X |
| Grouping | Other Service Providers |
| Classification | Case Manager/Care Coordinator |
| A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396350773 | Guiselle Maria Alvarez-delarosa | Case Manager/Care Coordinator | 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 | 2020-09-11 |
| 1477163467 | Chanel M. King | Case Manager/Care Coordinator | 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 | 2020-08-04 |
| 1912517251 | Jeffrey Hoge | Case Manager/Care Coordinator | 6644 Beacon Rd, Las Vegas, NV 89108-5390 | 2020-08-02 |
| 1992331698 | Angela E Oesterle | Case Manager/Care Coordinator | 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 | 2020-03-13 |
| 1336774330 | Taizha Howard | Case Manager/Care Coordinator | 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 | 2020-03-10 |
| 1043858863 | Stephanie Marie Sifuentes-smith | Case Manager/Care Coordinator | 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 | 2019-12-11 |
| 1932741022 | Deidre Fawn Cleaver | Case Manager/Care Coordinator | 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 | 2019-10-10 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1770132797 | Anna Rose Andrews | Case Manager/Care Coordinator | 3436 Wasatch Cedars St, Las Vegas, NV 89122-3574 | 2019-09-11 |
| 1952954018 | Denise Ratliff | Case Manager/Care Coordinator | 4937 Dunkirk Ave, Las Vegas, NV 89121-7042 | 2019-07-18 |
| Find all providers in LAS VEGAS | ||||
Please comment or provide details below to improve the information on ADELE HOLSTON BREEDLOVE.
| 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.