KYISH R YOUNG (NPI# 1730647223) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730647223 |
| Entity Type | Individual |
| Full Name | KYISH R YOUNG |
| Practice Address |
5324 Hollyridge St North Las Vegas NV 89081-4000 |
| Practice Telephone | 5107988205 |
| Mailing Telephone | 5107988205 |
| Enumeration Date | 2019-03-04 |
| Last Update Date | 2019-03-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers | ||
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| Street Address |
5324 HOLLYRIDGE ST |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89081-4000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821307034 | Lisa Yvonne Shavies | Counselor | 5324 Hollyridge St, North Las Vegas, NV 89081-4000 | 2010-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144879719 | Saniya Dion Wilson | Technician | 4828 Celsion Rock Street, Las Vegas, NV 89081 | 2019-09-06 |
| 1932609526 | Victoria Lashelle Jones | Chore Provider | 3821 Pecos Park Ave, Las Vegas, NV 89081 | 2018-02-20 |
| 1912414483 | Ar Complete Homecare, Inc | Chore Provider | 1127 Emerald Stone Ave, N Las Vegas, NV 89081 | 2018-01-05 |
| 1558872986 | Noemi Cabrera | Nurse Practitioner | 6121 Broccoli St, N. Las Vegas, NV 89081 | 2017-10-12 |
| 1912426909 | Olive Branch Mentoring | Community/Behavioral Health | 5548 Ayers Cliff Street, North Las Vegas, NV 89081 | 2017-09-12 |
| 1336689447 | Andrew Rooks | Student in an Organized Health Care Education/Training Program | 5005 Losee Road, 2016, North Las Vegas, NV 89081 | 2017-03-08 |
| 1932649464 | Sheila Flipse | Counselor | 713 Mission Del Oro Avenue, North Las Vegas, NV 89081 | 2017-03-02 |
| 1376090894 | Rebuilding To Success | Community/Behavioral Health | 3212 Carolina Moon Ave, North Las Vegas, NV 89081 | 2016-09-01 |
| 1447602164 | Courage-cynthia Ugbodu | Counselor | 5424 Talmo St, North Las Vegas, NV 89081 | 2016-07-06 |
| 1710338686 | Dejuan Peterson | Social Worker | 2825 Aspen Club Ave, North Las Vegas, NV 89081 | 2016-06-22 |
| Find all providers in zip 89081 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144837584 | Linda Jean Evans | Technician | 955 W Craig Rd Ste 114, North Las Vegas, NV 89032-0284 | 2020-09-29 |
| 1881201234 | Tamara Genean Washington | Technician | 3953 Yellow Mandarin Ave, North Las Vegas, NV 89081-4019 | 2020-09-29 |
| 1356974620 | Cheryl Graves Bradford | Technician | 5816 Radiance Park St, North Las Vegas, NV 89081-5259 | 2020-02-14 |
| 1083252373 | Agnes Nyaguthi | Technician | 3628 Cantabella Ct, North Las Vegas, NV 89032-0827 | 2019-12-17 |
| 1407497241 | Jorge David Oceguera | Technician | 3315 Outlook Point St, North Las Vegas, NV 89032-7984 | 2019-10-02 |
| 1285284356 | Maxine Kimberly Foy | Technician | 5605 Aunkening Street, North Las Vegas, NV 89081-6488 | 2019-09-19 |
| 1457909863 | Regina Tinoco Rosales | Technician | 4744 Petersburg Ln, North Las Vegas, NV 89031-4355 | 2019-08-28 |
| 1194372276 | Deanna Koa | Technician | 1921 Night Shadow Ave, North Las Vegas, NV 89031-1692 | 2019-08-22 |
| 1841845435 | Leonta Faustino Dickson | Technician | 1130 Basin Brook Dr., North Las Vegas, NV 89032 | 2019-08-09 |
| 1285288787 | Vianey Sylvester Winn | Technician | 4217 Fabulous Finches Ave, North Las Vegas, NV 89084-4811 | 2019-08-01 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89081 |
Please comment or provide details below to improve the information on KYISH R YOUNG.
| 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.