COLONIAL HOME CARE (NPI# 1780688234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780688234 |
| Entity Type | Organization |
| Organization Name | COLONIAL HOME CARE |
| Practice Address |
3530 E Flamingo Rd Ste 270 Las Vegas NV 89121-5092 |
| Practice Telephone | 7027338533 |
| Practice Fax Number | 7027338498 |
| Mailing Telephone | 7027338533 |
| Mailing Fax Number | 7027338498 |
| Enumeration Date | 2005-06-10 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DARRIS CLARK (BUSINESS MANAGER) |
| Authorized Official Telephone | 7027338533 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | 524HHA-10 | NV | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851917538 | Colonial Home Care | In Home Supportive Care | 27680 Franklin Rd # B, Southfield, MI 48034-8203 | 2020-06-18 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COLONIAL HOME CARE | 25050 Riding Plz Ste 130- 645, Chantilly, VA 20152-5925 |
| Street Address |
3530 E FLAMINGO RD STE 270 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89121-5092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811518731 | Yenisleydis Hidalgo | Behavioral Analyst | 3530 E Flamingo Rd, Las Vegas, NV 89121-5069 | 2020-05-01 |
| 1487275541 | Ernesto Benitez | Behavioral Analyst | 3530 E Flamingo Rd, Las Vegas, NV 89121-5069 | 2020-04-29 |
| 1316466782 | Sergio Rodriguez Marchena | Behavior Technician | 3530 E Flamingo Rd, Las Vegas, NV 89121-5069 | 2017-09-16 |
| 1033644547 | Avneet Wallah-montoya | Counselor | 3530 E Flamingo Rd, Suite 100, Las Vegas, NV 89121-5069 | 2017-04-23 |
| 1720530892 | Lasandra Morrison | Counselor | 3530 E Flamingo Rd, Suite 100, Las Vegas, NV 89121-5069 | 2016-10-25 |
| 1306397583 | Angie Rivera | Counselor | 3530 E Flamingo Rd, Suite 100, Las Vegas, NV 89121-5069 | 2016-10-21 |
| 1285183020 | Jake Demichele | Counselor | 3530 E Flamingo Rd, Las Vegas, NV 89121-5069 | 2016-09-21 |
| 1053860890 | Mark Demichele | Counselor | 3530 E Flamingo Rd, Las Vegas, NV 89121-5069 | 2016-09-21 |
| 1154878239 | Michelle Marco | Counselor | 3530 E Flamingo Rd, Suite 100, Las Vegas, NV 89121-5069 | 2016-09-06 |
| 1851766190 | Community Health Resources Inc | Behavioral Analyst | 3530 E Flamingo Rd, Suite 105, Las Vegas, NV 89121-5069 | 2015-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598379117 | Western State Behavioral Health and Psychiatric Services | Psychologist | 3910 Pecos-mcleod Interconnect, Las Vegas, NV 89121 | 2020-09-01 |
| 1962025155 | Arieste Diaz Perez | Clinic/Center | 3777 Pecos-mcleod Interconnect, Suite 101, Las Vegas, NV 89121 | 2020-05-21 |
| 1366071904 | Vanesa Silva | Behavior Technician | 4714 Flamigo Rd, Las Vegas, NV 89121 | 2020-04-06 |
| 1053955732 | Valente Solis Santiago | Technician | 2785 E. Desert Inn Rd Ste. 240, Las Vegas, NV 89121 | 2019-11-05 |
| 1750938981 | Ken Ernst | Rehabilitation Practitioner | Primary Solutions Medical Billing, 4525 S. Sandhill Rd Ste #112, Las Vegas, NV 89121 | 2019-08-22 |
| 1902450455 | Tracey Anora Henry | Counselor | 3675 Pecos Mecleod Ste 900, Las Vegas, NV 89121 | 2019-08-01 |
| 1679127096 | Wilma Guadalupe Nunez | Chore Provider | 2860 East Flamingo, Suite C, Las Vegas, NV 89121 | 2019-07-25 |
| 1487213807 | Karla Susana Ayala | Chore Provider | 2860 E. Flamingo Rd Ste K., Las Vegas, NV 89121 | 2019-06-10 |
| 1447819164 | Jovita Garcia-perez | Chore Provider | 2860 E. Flamingo Suite C, Suite C, Las Vegas, NV 89121 | 2019-06-06 |
| 1164081972 | Maria Isabel Castellanos Gonzalez | Chore Provider | 2860 E. Flamingo Rd Ste K, Las Vegas, NV 89121 | 2019-06-06 |
| Find all providers in zip 89121 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407457542 | Maria Isabel Bedolla | Home Health | 5402 S Sir Richard Dr, Las Vegas, NV 89110-4863 | 2020-11-05 |
| 1083212013 | Talya Fritz | Home Health | 10220 Delray Beach Ave Unit 203, Las Vegas, NV 89129-1058 | 2020-10-12 |
| 1174121305 | Pena Francia Home Health Care LLC | Home Health | 2235 E Flamingo Rd Ste 220, Las Vegas, NV 89119-0807 | 2020-10-10 |
| 1467050773 | Real Community Home Health LLC | Home Health | 4660 S Eastern Ave Ste 205, Las Vegas, NV 89119-6139 | 2020-10-09 |
| 1114524311 | Creek View Home Health LLC | Home Health | 2950 E Flamingo Rd Ste H, Las Vegas, NV 89121-5208 | 2020-10-01 |
| 1164038196 | Tammy E Smith | Home Health | 1500 Karen Ave, 65, Las Vegas, NV 89169 | 2020-09-16 |
| 1326653908 | Annjo's Home Health Care Inc | Home Health | 3430 E Flamingo Rd Ste 107a, Las Vegas, NV 89121-5003 | 2020-09-10 |
| 1164036968 | My Family Home Health LLC | Home Health | 830 E Sahara Ave, Las Vegas, NV 89104-3009 | 2020-08-31 |
| 1023620333 | 1st Choice Care LLC | Home Health | 6865 Sigri St, Las Vegas, NV 89166-7016 | 2020-08-18 |
| 1114544566 | Gamaliel Digan | Home Health | 3100 E Charleston Blvd Ste 113, Las Vegas, NV 89104-6666 | 2020-07-01 |
| 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.