DR. CHAQULA POINTER-KALLO (NPI# 1710309992) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1710309992 |
Entity Type | Individual |
Full Name | DR. CHAQULA POINTER-KALLO |
Credential | DM-ODC, MA-HPS/EDU |
Practice Address |
3720 Autzen Stadium Way Las Vegas NV 89115-1568 |
Practice Telephone | 6625732002 |
Mailing Telephone | 6625732002 |
Enumeration Date | 2014-01-07 |
Last Update Date | 2019-08-13 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 174400000X | Specialist | Other Service Providers | ||
Y | 251C00000X | Day Training, Developmentally Disabled Services | Agencies | ||
N | 251S00000X | Community/Behavioral Health | Agencies |
Street Address |
3720 AUTZEN STADIUM WAY |
City | LAS VEGAS |
State | NV |
Zip Code | 89115-1568 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235739392 | Maxima Del Carmen Garcia | Technician | 3580 E Alexander Rd Apt 2016, Las Vegas, NV 89115 | 2020-10-28 |
1316555097 | Alma Liz Cuello Gonzalez | Technician | 3735 Gulliver St, Las Vegas, NV 89115 | 2020-07-17 |
1689214397 | Reginald Powers | Technician | 3817 N Nellis Blvd, Apt 218, Las Vegas, NV 89115 | 2020-01-10 |
1932748779 | Mindworks Mental Health Clinic | Clinic/Center | 3830 Timberlake Dr., Las Vegas, NV 89115 | 2019-12-26 |
1982249801 | Limitless Behavioral Services Health LLC | Community/Behavioral Health | 4370 E Craig Rd, Apt 2123, Las Vegas, NV 89115 | 2019-11-14 |
1033751102 | Patricia Rangel | Technician | 3125 North Pecos Rd Apt #112, Las Vegas, NV 89115 | 2019-10-10 |
1003388471 | Nikera Island | Technician | 9564 Nellis Blvd, Las Vegas, NV 89115 | 2018-12-26 |
1295218519 | Craig Duerson | Behavioral Analyst | 3624 Elegant Saint Ct, Las Vegas, NV 89115 | 2018-09-12 |
1043719750 | Mary Bernadette Mitchell | Technician | 3715 Hayward Field Rd, Las Vegas, NV 89115 | 2018-02-08 |
1689190563 | Brian D Rentie Jr. | Behavior Technician | 4730 E. Craig Rd #2160, Las Vegas, NV 89115 | 2017-08-22 |
Find all providers in zip 89115 |
Taxonomy Code | 251C00000X |
Grouping | Agencies |
Classification | Day Training, Developmentally Disabled Services |
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548872229 | Alexandrea Brooke Romeo | Day Training, Developmentally Disabled Services | 2129 La Harve Dr, Las Vegas, NV 89106-1914 | 2020-08-23 |
1457975534 | Mechelle Patton | Day Training, Developmentally Disabled Services | 1320 Sharon Rd, Las Vegas, NV 89106-2049 | 2020-06-03 |
1780210450 | Kazar Inc | Day Training, Developmentally Disabled Services | 2100 S Maryland Pkwy Ste 3, Las Vegas, NV 89104-3225 | 2020-03-13 |
1588222871 | Productive Community Services | Day Training, Developmentally Disabled Services | 4496 N Rancho Dr Ste E1, Las Vegas, NV 89130-3406 | 2019-05-31 |
1720575251 | Tancell Care LLC | Day Training, Developmentally Disabled Services | 9138 W Richmar Ave, Las Vegas, NV 89178-6228 | 2018-04-19 |
1376902387 | Progressive Choices, Inc. | Day Training, Developmentally Disabled Services | 3014 Rigel Ave, Las Vegas, NV 89102-0709 | 2016-02-18 |
1568831808 | Deborah Benner-moss | Day Training, Developmentally Disabled Services | 1405 S Nellis Blvd Unit 2068, Las Vegas, NV 89104-5851 | 2015-09-16 |
1235479171 | Delta Lynn Phillips | Day Training, Developmentally Disabled Services | 3913 Sweet Pine St., Unit 102, Las Vegas, NV 89108 | 2013-02-28 |
1427319094 | Heart of A Girl | Day Training, Developmentally Disabled Services | 5626 W Katie Ave, Las Vegas, NV 89103-2326 | 2012-05-31 |
1154605855 | Trinibelle 'guiding Hands' LLC | Day Training, Developmentally Disabled Services | 1528 Lady Bryan Ln, Las Vegas, NV 89110-1719 | 2011-09-29 |
Find all providers in LAS VEGAS |
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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.