HOMEBASE HEALTHCARE LLC (NPI# 1760947634) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760947634 |
| Entity Type | Organization |
| Organization Name | HOMEBASE HEALTHCARE LLC |
| Practice Address |
3312 W Charleston Blvd Las Vegas NV 89102-1829 |
| Practice Telephone | 7024107825 |
| Mailing Telephone | 7024107825 |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2019-02-06 |
| Authorized Official Name | FRANCES MALINIS (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 7024107825 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 850 Mill St Ste 100, Reno, NV 895021463 | 7755386700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518422583 | Homebase Healthcare LLC | Family Medicine | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-02-04 |
| Street Address |
3312 W CHARLESTON BLVD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-1829 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487995965 | Juliana Alegre Palijo | Nurse Practitioner | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2013-03-08 |
| 1366059511 | Nicholle Rachelle Shea | Technician, Other | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2020-09-30 |
| 1841847969 | Olia Evdokimova | Pharmacist | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-08-22 |
| 1306499835 | Xpress Par LLC | Pharmacist | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-07-23 |
| 1457904146 | Cynthia Kay Combs | Nurse Practitioner | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-07-22 |
| 1326501321 | Medtrans | Clinic/Center | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-04-08 |
| 1750846549 | Homebase Care Faylona Pllc | Family Medicine | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-02-05 |
| 1659836443 | Homebase Care Faylona Pllc | Counselor | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-02-05 |
| 1518422583 | Homebase Healthcare LLC | Family Medicine | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-02-04 |
| 1114481785 | Ruel Mariano | Nurse Practitioner | 3312 W Charleston Blvd, Las Vegas, NV 89102-1829 | 2019-01-28 |
| Find all providers in the same location | ||||
| 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 | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659971414 | Oluwakemi Temitayo Obajuwonlo | Counselor | 4442 Avery Park Ave, Las Vegas, NV 89110-5488 | 2020-10-29 |
| 1275132862 | Keep Safe Wellcare Center, LLC | Counselor | 1912 Goodwill St, Apt D, Las Vegas, NV 89106-1232 | 2020-10-23 |
| 1568060796 | Rolly Taguinod Quilang | Counselor | 5346 Tipper Ave, Las Vegas, NV 89122-6966 | 2020-10-09 |
| 1255948519 | Jaafah Rashad Coppedge | Counselor | 4400 S Jones Blvd Unit 1028, Las Vegas, NV 89103-3337 | 2020-09-30 |
| 1457968570 | Deborah Ilakay Walker | Counselor | 764 E Twain Ave Apt 5b, Las Vegas, NV 89169-4125 | 2020-09-24 |
| 1912513359 | Parisa Karen Kabiri | Counselor | 6767 W Tropicana Ave #100, Las Vegas, NV 89103-8910 | 2020-09-21 |
| 1861007932 | Camry A Howard | Counselor | 3200 Arville St Apt 146, Las Vegas, NV 89102-7648 | 2020-09-14 |
| 1992319099 | Kayli Wrenn | Counselor | 7788 Peaceful Trellis Dr, Las Vegas, NV 89179-2031 | 2020-09-04 |
| 1932712809 | Williams Consultation | Counselor | 3811 W Charleston Blvd Ste 106, Las Vegas, NV 89102-1846 | 2020-08-28 |
| 1386255321 | Evolve and Heal Wellness Center | Counselor | 1024 W Owens Ave Ste 113, Las Vegas, NV 89106-2520 | 2020-08-13 |
| 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.