MS. COLLEEN PATRICIA HAESCHE (NPI# 1720563497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720563497 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN PATRICIA HAESCHE |
| Practice Address |
480 Galletti Way Sparks NV 89431-5564 |
| Practice Telephone | 7756883354 |
| Practice Fax Number | 7756882171 |
| Mailing Telephone | 7756883354 |
| Mailing Fax Number | 7756882171 |
| Enumeration Date | 2018-09-28 |
| Last Update Date | 2018-09-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 171M00000X | Case Manager/Care Coordinator | NV | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1972501021 | 05 |
| Street Address |
480 GALLETTI WAY |
| City | SPARKS |
| State | NV |
| Zip Code | 89431-5564 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972501021 | State of Nevada | Psychiatric Hospital | 480 Galletti Way, Sparks, NV 89431-5564 | 2005-07-12 |
| 1760022214 | Dr. William Jackson | Clinic/Center | 480 Galletti Way, Sparks, NV 89431-5564 | 2020-01-13 |
| 1124676614 | Bryon Jason Gallant | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-08-28 |
| 1063076578 | David R Ball | Day Training/Habilitation Specialist | 480 Galletti Way, Sparks, NV 89431-5564 | 2019-04-30 |
| 1154893980 | Juan Manuel Juarez Jr. | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-12-18 |
| 1861962805 | Ange Kay Zimmerman | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-12-03 |
| 1053887588 | Richard Alexander Noack | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-23 |
| 1053886739 | Jessica Kate Ketz | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-09 |
| 1457839797 | Mitchell Stuart Lasco | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-07-30 |
| 1548752686 | Tyler Rosentreter | Counselor | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-06-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053958033 | Jerome Johnson II | Behavioral Analyst | 3115 Saltern Way, Sparks, NV 89431 | 2019-12-09 |
| 1528520640 | Dynisha Bernee Richardson | Technician, Other | 616 Victorian Ave, Sparks, NV 89431 | 2019-04-05 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1669964128 | Abraham A Arellano | Behavioral Analyst | 2005 Probasco Way, Sparks, NV 89431 | 2018-05-31 |
| 1003335399 | Carresa Greer | Counselor | 390 Freeport Blvd #3, Sparks, NV 89431 | 2017-09-18 |
| 1689197444 | Fred Blauth Jr. | Counselor | 2105 Sullivan Ln, Sparks, NV 89431 | 2017-07-24 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1124478862 | Kristina Schneider | Behavioral Analyst | 3230 Wedekind Rd, 50, Sparks, NV 89431 | 2016-06-14 |
| 1336506898 | Rikki Texter | Occupational Therapy Assistant | 1025 Robert Lane, Sparks, NV 89431 | 2016-01-28 |
| 1851760177 | Elizabeth Ojeda | Counselor | 490 Galletti Way, Building 8c, Sparks, NV 89431 | 2015-09-16 |
| Find all providers in zip 89431 | ||||
| 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 |
|---|---|---|---|---|
| 1588153092 | Lauren Woodward | Case Manager/Care Coordinator | 1963 E Prater Way # 101, Sparks, NV 89434-8938 | 2018-05-09 |
| 1790154177 | Ashley Anna Richter | Case Manager/Care Coordinator | 905 Red Falcon Way, Sparks, NV 89441-8884 | 2015-09-16 |
| 1427394253 | Elizabeth Hudson | Case Manager/Care Coordinator | 5300 S Los Altos Pkwy, Apt 223, Sparks, NV 89436-2546 | 2012-12-26 |
| 1053886739 | Jessica Kate Ketz | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2018-10-09 |
| 1447626189 | Charles Praksti | Case Manager/Care Coordinator | 480 Galletti Way, Bldg. 1, Sparks, NV 89431-5564 | 2015-08-17 |
| 1932543006 | Eric C Brown | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2013-04-19 |
| 1841540184 | Amy Caprari | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-09-13 |
| 1639429251 | Michelle Beaver | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-09-11 |
| 1821348442 | Sarah Hunter | Case Manager/Care Coordinator | 480 Galletti Way, Sparks, NV 89431-5564 | 2012-09-11 |
| 1770839870 | Shannon Marie Vancil | Case Manager/Care Coordinator | 1275 York Way, Sparks, NV 89431-2035 | 2012-07-26 |
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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.