CGL GROUP CORP (NPI# 1902175144) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902175144 |
| Entity Type | Organization |
| Organization Name | CGL GROUP CORP |
| Practice Address |
1900 Eliminator Dr Las Vegas NV 89146-1136 |
| Practice Telephone | 7028233553 |
| Practice Fax Number | 7028233553 |
| Mailing Telephone | 7028233553 |
| Mailing Fax Number | 7028233553 |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |
| Authorized Official Name | MR. CHRISTIAN CASTANEDA (PRESIDENT) |
| Authorized Official Telephone | 9174968000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Street Address |
1900 ELIMINATOR DR |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89146-1136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639526114 | Silver Horizon | Assisted Living Facility | 1900 Eliminator Dr, Las Vegas, NV 89146-1136 | 2016-05-16 |
| 1689059362 | Silver Horizon LLC | In Home Supportive Care | 1900 Eliminator Dr, Las Vegas, NV 89146-1136 | 2015-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1730726597 | Jenna Leigh White | Occupational Therapist | 2012 S Jones Blvd., Las Vegas, NV 89146 | 2019-11-28 |
| 1649828898 | Rocio Ferat | Chore Provider | 5000 W. Oakey Suite E.i, Las Vegas, NV 89146 | 2019-08-30 |
| 1912554007 | Juan Zamora | Chore Provider | 5000 W. Oakey Bld Suite E-1, Las Vegas, NV 89146 | 2019-08-22 |
| 1407402530 | Elia Rocio Vargas-sifuentes | Chore Provider | 5000 W Oakey, Suite E.i, Las Vegas, NV 89146 | 2019-08-14 |
| 1740834050 | Zi Wang | Physician Assistant | 5300 Spring Mountain Rd Ste 112, Las Vegas, NV 89146 | 2019-07-25 |
| 1871145565 | Virginia Lopez Lopez | Chore Provider | 5000 W. Oakey Blvd. Suite E-1, Las Vegas, NV 89146 | 2019-07-12 |
| 1962054726 | Nona Sixta Q Baldonado | Technician | 5450 W Sahara Ave Ste 250a, Las Vegas, NV 89146 | 2019-07-11 |
| 1326600701 | Thelma Moreno Cerros | Chore Provider | 5000 W. Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-05 |
| 1992367866 | Carolina Perez | Chore Provider | 5000 W Oakey Blvd Suite E-1, Las Vegas, NV 89146 | 2019-07-01 |
| Find all providers in zip 89146 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644630 | Patrick Da'von Porter | Assisted Living Facility | 4975 Duneville St Apt 325, Las Vegas, NV 89118-1272 | 2020-03-14 |
| 1366001950 | Gerardo A Mariano | Assisted Living Facility | 4462 Farmcrest Dr, Las Vegas, NV 89121-4906 | 2019-06-07 |
| 1841855319 | Rainbow Adult Care LLC | Assisted Living Facility | 1823 Belcastro St, Las Vegas, NV 89117-2103 | 2019-05-09 |
| 1275026965 | Helping Hands Care Home II | Assisted Living Facility | 11745 Stonewall Springs Ave, Las Vegas, NV 89138-1577 | 2018-06-07 |
| 1396081477 | Faith Shari Group Home | Assisted Living Facility | 3364 Rosario Cir, Las Vegas, NV 89121-2397 | 2012-12-18 |
| 1043511132 | Mijn Corporation | Assisted Living Facility | 3933 Captain Jon Ave, Las Vegas, NV 89104-5024 | 2010-11-05 |
| 1730726704 | Palma Holdings LLC | Assisted Living Facility | 100 S 14th St, Las Vegas, NV 89101 | 2019-12-09 |
| 1457995813 | Grace Wellness Center LLC | Assisted Living Facility | 801 S Rancho Dr Ste A2, Las Vegas, NV 89106-3870 | 2019-10-29 |
| 1770133118 | Gge Enterprises LLC Sunshine Care Home I&ii | Assisted Living Facility | 3970 Maryland Ave, Las Vegas, NV 89121-4559 | 2019-09-18 |
| 1023667276 | Gge Enterprises LLC | Assisted Living Facility | 3970 Maryland Ave, Las Vegas, NV 89121-4559 | 2019-09-10 |
| 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.