MRS. MYONG WOOK KIM (NPI# 1811441892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811441892 |
| Entity Type | Individual |
| Full Name | MRS. MYONG WOOK KIM |
| Practice Address |
1401 Arville St Las Vegas NV 89102-0054 |
| Mailing Address |
1130 Sharon Rd Las Vegas NV 89106-2036 |
| Practice Telephone | 7027380514 |
| Mailing Telephone | 7027380514 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 171M00000X | Case Manager/Care Coordinator | 8408-ADC-0 | NV | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023499506 | Myong H Kim | Pharmacist | 1266 Alder Creek Cir, San Leandro, CA 94577-5156 | 2015-06-10 |
| 1578604534 | Myong Kim | Counselor | 1325 N Western Ave, Los Angeles, CA 90027-5615 | 2007-02-10 |
| 1821328378 | Myong Son Kim | Pharmacist | 12405 Ne 85th St, Kirklnad, WA 98033-8032 | 2010-01-06 |
| Street Address |
1401 ARVILLE ST |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102-0054 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073994117 | Advance Home Health Care Inc. | Home Health | 1401 Arville St, Suite H, Las Vegas, NV 89102-0054 | 2015-06-15 |
| 1427588623 | Robin J Goins | Counselor | 1401 Arville St, Las Vegas, NV 89102-0054 | 2017-06-20 |
| 1659818839 | Vegas Adult Daycare, Inc | Clinic/Center | 1401 Arville St, Las Vegas, NV 89102-0054 | 2017-01-25 |
| 1619421690 | Vegas Adult Day Care | Clinic/Center | 1401 Arville St, Las Vegas, NV 89102-0054 | 2016-08-08 |
| 1568843498 | Hope Behavioral & Mental Health Services Inc | Community/Behavioral Health | 1401 Arville St, Suite H1, Las Vegas, NV 89102-0054 | 2015-06-16 |
| 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 | 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 |
|---|---|---|---|---|
| 1396350773 | Guiselle Maria Alvarez-delarosa | Case Manager/Care Coordinator | 5547 Leaning Oak Ave, Las Vegas, NV 89118-2080 | 2020-09-11 |
| 1477163467 | Chanel M. King | Case Manager/Care Coordinator | 150 Las Vegas Blvd N Unit 2014, Las Vegas, NV 89101-2951 | 2020-08-04 |
| 1912517251 | Jeffrey Hoge | Case Manager/Care Coordinator | 6644 Beacon Rd, Las Vegas, NV 89108-5390 | 2020-08-02 |
| 1992331698 | Angela E Oesterle | Case Manager/Care Coordinator | 8118 Crushed Velvet Pl, Las Vegas, NV 89166-3794 | 2020-03-13 |
| 1336774330 | Taizha Howard | Case Manager/Care Coordinator | 1500 E Tropicana Ave Ste 244, Las Vegas, NV 89119-8325 | 2020-03-10 |
| 1043858863 | Stephanie Marie Sifuentes-smith | Case Manager/Care Coordinator | 2566 Sherwood St Apt 21, Las Vegas, NV 89109-1303 | 2019-12-11 |
| 1932741022 | Deidre Fawn Cleaver | Case Manager/Care Coordinator | 2893 Klinger Cir Apt 2, Las Vegas, NV 89121-1023 | 2019-10-10 |
| 1861033730 | Militza Mares Mikovich | Case Manager/Care Coordinator | 820 S 7th Street Ste A, Las Vegas, NV 89101 | 2019-10-02 |
| 1770132797 | Anna Rose Andrews | Case Manager/Care Coordinator | 3436 Wasatch Cedars St, Las Vegas, NV 89122-3574 | 2019-09-11 |
| 1952954018 | Denise Ratliff | Case Manager/Care Coordinator | 4937 Dunkirk Ave, Las Vegas, NV 89121-7042 | 2019-07-18 |
| 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.