AGELESS PERSONAL CARE SERVICES L.L.C (NPI# 1710452297) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1710452297 |
| Entity Type | Organization |
| Organization Name | AGELESS PERSONAL CARE SERVICES L.L.C |
| Practice Address |
4550 W Oakey Blvd Ste 108a Las Vegas NV 89102-1506 |
| Practice Telephone | 9514466573 |
| Mailing Telephone | 9514466573 |
| Enumeration Date | 2018-10-10 |
| Last Update Date | 2018-10-10 |
| Authorized Official Name | MS. YESENIA SALAZAR (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 9514466573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 374U00000X | Home Health Aide | Nursing Service Related Providers |
| Street Address |
4550 W OAKEY BLVD STE 108A |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801247952 | Family Personal Care, LLC | Home Health | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2016-06-29 |
| 1831658830 | Venessa Tiznado | Technician | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2019-03-19 |
| 1821556739 | Carlos Ramirez | Technician | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2019-03-10 |
| 1215494273 | Senayda Isabel Landaverde | Technician | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2019-02-26 |
| 1972074425 | Deandra Ashley Morales | Technician | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-12-10 |
| 1497224661 | Andrew Mai Tran | Technician | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-11-17 |
| 1922597863 | Ninfa Leon | Technician | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-05-07 |
| 1013405588 | Mildrey Garcia-mirabal | Behavioral Analyst | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-04-30 |
| 1851889133 | Lesly Nunez | Behavioral Analyst | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-04-23 |
| 1992292742 | Ricardo Nava | Behavioral Analyst | 4550 W Oakey Blvd Ste 108a, Las Vegas, NV 89102-1506 | 2018-04-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 374U00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Home Health Aide |
| A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952918120 | Carina Perry | Home Health Aide | 4820 Wartbug Ct, Las Vegas, NV 89131-2795 | 2020-09-30 |
| 1285240358 | Chavaughnda Jean Clark | Home Health Aide | 8201 Gillette St, Las Vegas, NV 89117-9026 | 2020-09-23 |
| 1942816178 | Yue Qin Li | Home Health Aide | 5303 E Twain Ave, Las Vegas, NV 89122-4646 | 2020-09-22 |
| 1740894096 | Jpn Holdings Corp | Home Health Aide | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1417569542 | Mariela Lopez | Home Health Aide | 3678 Olive St, Las Vegas, NV 89104-4640 | 2020-08-19 |
| 1649897943 | Ivan Cheng-chi Liang | Home Health Aide | 7934 Cape Flattery Ave, Las Vegas, NV 89147-4757 | 2020-07-02 |
| 1053937128 | Ngoan Thi Nguyen | Home Health Aide | 141 Chelseann St, Las Vegas, NV 89110-4554 | 2020-06-24 |
| 1871119941 | Nhan T Nguyen | Home Health Aide | 9378 Cool Creek Ave, Las Vegas, NV 89147-7841 | 2020-06-24 |
| 1649895756 | Xueying Xie | Home Health Aide | 917 Bridgewater St, Las Vegas, NV 89110-5734 | 2020-06-15 |
| 1801411921 | Lichang Su | Home Health Aide | 3625 S Decatur Blvd Apt 1110, Las Vegas, NV 89103-5836 | 2020-06-15 |
| 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.