PAHRUMP'S DIVERSIFIED WELLNESS CENTER LLC (NPI# 1801428420) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801428420 |
| Entity Type | Organization |
| Organization Name | PAHRUMP'S DIVERSIFIED WELLNESS CENTER LLC |
| Practice Address |
2780 Homestead Rd Pahrump NV 89048-5399 |
| Practice Telephone | 7028183138 |
| Mailing Telephone | 7028183138 |
| Mailing Fax Number | 7028184142 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | MS. AKILAH BENNETT (OWNER) |
| Authorized Official Telephone | 7029199210 |
| 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 |
| Other Name | Type Code |
|---|---|
| Pahrump's Diversified Wellness Center | Doing Business As Name - Organization |
| Street Address |
2780 HOMESTEAD RD |
| City | PAHRUMP |
| State | NV |
| Zip Code | 89048-5399 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861799520 | Delia Dejarme Fortunato | Rehabilitation Practitioner | 2780 Homestead Rd, Pahrump, NV 89048-5399 | 2011-02-16 |
| 1346892403 | Ccde, LLC | Pharmacy | 2780 Homestead Rd, Pahrump, NV 89048-5399 | 2019-07-09 |
| 1639593841 | A & R Diversified Human Services | Behavioral Analyst | 2780 Homestead Rd, Pahrump, NV 89048-5399 | 2014-02-07 |
| 1700152287 | Barrie Anne Fenton | Rehabilitation Practitioner | 2780 Homestead Rd, Pahrump, NV 89048-5399 | 2012-03-28 |
| 1225304066 | Sheri Simon | Rehabilitation Practitioner | 2780 Homestead Rd, Suite #201, Pahrump, NV 89048-5399 | 2012-03-27 |
| 1053686840 | Krystal Amanda Burns | Rehabilitation Practitioner | 2780 Homestead Rd, #201, Pahrump, NV 89048-5399 | 2012-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550577 | Adela Madueno | Technician | 1321 S. Highway 160 Ste. 10b, Pahrump, NV 89048 | 2020-08-27 |
| 1295363232 | Desert River PCa | Home Health Aide | 1890, S Mount Charleston Rd W, Pahrump, NV 89048 | 2020-03-27 |
| 1720628530 | Jeannie Gutierrez | Registered Nurse | 240 S Humahuaca, Pahrump, NV 89048 | 2020-01-09 |
| 1689214686 | Jennifer Leigh Dion | Rehabilitation Counselor | 240 S. Humahuaca Rural Clinics Parhrump, Pahrump, NV 89048 | 2020-01-08 |
| 1679119069 | Pahrump Internal Medicine | Internal Medicine | 3370 S State Highway 160, Ste 10, Pahrump, NV 89048 | 2019-11-21 |
| 1417599184 | Silver State Health Services | Clinic/Center | 951 E Honeysuckle St, Pahrump, NV 89048 | 2019-10-14 |
| 1447892369 | Leanna Claney | Home Health Aide | 1321 S. Highway 160, Suite 10b, Pahrump, NV 89048 | 2019-10-11 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1669022992 | Stepheni J. Nelson | Technician | 1321 South Highway 160 Suite 10b, Pahrump, NV 89048 | 2019-09-18 |
| 1437709045 | Ohana Home Care, LLC | In Home Supportive Care | 1321 South Highway 160, Ste. 10b, Pahrump, NV 89048 | 2019-09-16 |
| Find all providers in zip 89048 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093358012 | Arely Villa- Trevizo | Counselor | 1151 Lewis St, Pahrump, NV 89048-7654 | 2019-10-22 |
| 1205478393 | Ark Counseling Services | Counselor | 1541 E Basin Ave, Pahrump, NV 89060-4607 | 2019-10-10 |
| 1154972776 | Transforming Lives Completely LLC | Counselor | 3340 S Highway St, Suite 201, Pahrump, NV 89048 | 2019-09-25 |
| 1013400829 | Eric Dwayne Brown | Counselor | 2661 Sparrow Way, Pahrump, NV 89048-7682 | 2018-06-07 |
| 1154796464 | Alicia Lewis | Counselor | 2430 E Calvada Blvd, Pahrump, NV 89048 | 2015-12-11 |
| 1619380466 | Andrew Christian Meyers | Counselor | 2300 Postal Road Unit 65, Pahrump, NV 89041-0065 | 2014-06-10 |
| 1700223088 | Westcare Nevada | Counselor | 1161 S Loop Rd, Suite B, Pahrump, NV 89048-4764 | 2013-05-28 |
| 1396089017 | Michelle Jimenez | Counselor | 1017 E Basin Ave Ste 3, Pahrump, NV 89060-4532 | 2012-11-19 |
| 1700159431 | Marvina Truss | Counselor | Rural Clinics Pahrump, 240 S.humahuasca, Pahrump, NV 89048 | 2012-02-10 |
| 1336395201 | Sharon Winkelmann | Counselor | 2280 E. Calvada Blvd, Suite 201, Pahrump, NV 89048 | 2008-08-12 |
| Find all providers in PAHRUMP | ||||
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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.