MOJAVE MENTAL HEALTH (NPI# 1831494673) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831494673 |
| Entity Type | Organization |
| Organization Name | MOJAVE MENTAL HEALTH |
| Practice Address |
4000 E Charleston Blvd Ste 230 Las Vegas NV 89104-6659 |
| Mailing Address |
4000 E Charleston Blvd Hm # 617 Las Vegas NV 89104-6659 |
| Practice Telephone | 7025551212 |
| Mailing Telephone | 7025551212 |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2011-01-25 |
| Authorized Official Name | LASHARE EDWARDS (RN) |
| Authorized Official Telephone | 3105551212 |
| Authorized Official Credential | REGISTERED NURSE |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | RN67139 | NV | Nursing & Custodial Care Facilities |
| Street Address |
4000 E CHARLESTON BLVD STE 230 |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89104-6659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083683874 | Nevada Family Practice Residence Program | Pharmacy | 4000 E Charleston Blvd, B-130, Las Vegas, NV 89104-6659 | 2006-03-15 |
| 1598207847 | Delores Glenn-lewis | Counselor | 4000 E Charleston Blvd, 226, Las Vegas, NV 89104-6659 | 2016-11-17 |
| 1447602974 | Dori Hilson | Social Worker | 4000 E Charleston Blvd, Las Vegas, NV 89104-6659 | 2016-07-08 |
| 1386096766 | Alexis Harris | Community Health Worker | 4000 E Charleston Blvd, Ste. 230, Las Vegas, NV 89104-6659 | 2016-07-08 |
| 1770930133 | Erin Maria Spanberger | Counselor | 4000 E Charleston Blvd, Suite #230, Las Vegas, NV 89104-6659 | 2016-05-16 |
| 1447619267 | Brandi Mcconnell | Social Worker | 4000 E Charleston Blvd, Suite 230, Las Vegas, NV 89104-6659 | 2016-02-22 |
| 1548639271 | Desirae Chantal Murenzi | Registered Nurse | 4000 E Charleston Blvd, Sutie 230, Las Vegas, NV 89104-6659 | 2015-09-23 |
| 1518335801 | Angela Acuna | Registered Nurse | 4000 E Charleston Blvd, Suite 230, Las Vegas, NV 89104-6659 | 2015-09-03 |
| 1053795898 | Natalie Rose Schmaltz | Social Worker | 4000 E Charleston Blvd, 230, Las Vegas, NV 89104-6659 | 2015-07-10 |
| 1124456033 | Winnie Wegner | Registered Nurse | 4000 E Charleston Blvd, Ste #130, Las Vegas, NV 89104-6659 | 2013-10-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316550635 | Comfort Care Senior Services LLC | In Home Supportive Care | 1601 S Sandhill Rd, 62, Las Vegas, NV 89104 | 2020-08-26 |
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1003448333 | Shirley Lauren Valenzona-gianan | Pharmacist | Smith's Pharmacy #318, 4965 East Sahara Avenue, Las Vegas, NV 89104 | 2020-02-05 |
| 1427602713 | Alma Lucia Lozano-vargas | Chore Provider | 1785 E. Sahara Ave. Suite 485, Las Vegas, NV 89104 | 2019-07-25 |
| 1396398947 | Martinez Antuan Coates | Psychologist | 1755 Palm St Bld T Apt147, Las Vegas, NV 89104 | 2019-07-23 |
| 1982171518 | Ian Sande | Occupational Therapist | 1500 West Warm Springs Rd, Las Vegas, NV 89104 | 2018-11-01 |
| 1215436563 | A Better Life In Home Care, LLC | Technician | 1810 East Sahara Avenue, Suite 216, Las Vegas, NV 89104 | 2018-02-01 |
| 1891202016 | Nevada Helping Hands LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1810 E Sahara Ave Ste 143, Las Vegas, NV 89104 | 2018-01-09 |
| 1760901581 | Fannie Bell | Counselor | 1800 E. Sahara Suite 104, Las Vegas, NV 89104 | 2017-09-13 |
| 1386162147 | Jaclyn Mustachio | Social Worker | 1860 E Sahara Ave, Las Vegas, NV 89104 | 2017-08-31 |
| Find all providers in zip 89104 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235520867 | Globalcat Health & Hit Consulting | Nursing Facility/Intermediate Care Facility | 9176 Umberland Ave, Las Vegas, NV 89149-3029 | 2015-02-18 |
| 1659545648 | Department of Veterans Affairs | Nursing Facility/Intermediate Care Facility | 5555 Baker Bowl Ct, Las Vegas, NV 89148-4630 | 2008-04-22 |
| 1558497784 | Gaye Haven Intermediate Care Fac | Nursing Facility/Intermediate Care Facility | 1813 Betty Lane, Las Vegas, NV 89156-6728 | 2007-02-23 |
| 1043200454 | Brookhaven Nursing Home | Nursing Facility/Intermediate Care Facility | 813 4th St, Las Vegas, NM 87701-4422 | 2005-10-26 |
| 1114916319 | New Mexico Behavioral Health Institute | Nursing Facility/Intermediate Care Facility | 3695 Hot Springs Blvd, Las Vegas, NM 87701-9549 | 2005-10-19 |
| 1992707806 | Eljen Medical Hospital | Nursing Facility/Intermediate Care Facility | 5538 Duncan Dr, Las Vegas, NV 89130-2812 | 2005-08-10 |
| 1497117832 | Candy Pemberton | Nursing Facility/Intermediate Care Facility | 6255 W Tropicana Ave, Apt 343, Las Vegas, NV 89103-4603 | 2016-03-24 |
| 1215364922 | Jewel Deguzman | Nursing Facility/Intermediate Care Facility | 2224 Canary Way, Las Vegas, NV 89106-1912 | 2013-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184607632 | Preferred Care West II Inc | Nursing Facility/Intermediate Care Facility | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 | 2005-11-29 |
| 1083612741 | State of Nevada | Nursing Facility/Intermediate Care Facility | 100 Veterans Memorial Drive, Boulder City, NV 89005 | 2005-07-07 |
| 1922491505 | Parkway Recovery Care Center, LLC | Nursing Facility/Intermediate Care Facility | 100 N Green Valley Pkwy, Suite 330, Henderson, NV 89074-6391 | 2015-03-06 |
| 1174766687 | Vetreran Affairs Administration | Nursing Facility/Intermediate Care Facility | 1000 Locust Street, Reno, NV 89520 | 2009-04-14 |
| 1598974487 | Preferred Care West II Inc | Nursing Facility/Intermediate Care Facility | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 | 2007-05-21 |
| 1013132117 | Lincoln County Hospital District | Nursing Facility/Intermediate Care Facility | 700 North Spring Street, Caliente, NV 89008-1010 | 2007-04-16 |
| 1629191085 | Veterans Administration | Nursing Facility/Intermediate Care Facility | 1000 Locust St, Reno, NV 89502-2597 | 2007-04-09 |
| 1619091246 | Humboldt General Hospital | Nursing Facility/Intermediate Care Facility | 118 E Haskell St, Winnemucca, NV 89445-3247 | 2007-03-19 |
| 1013094010 | Battle Mountain General Hospital | Nursing Facility/Intermediate Care Facility | 535 S Humboldt St, Battle Mountain, NV 89820-1988 | 2006-11-01 |
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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.