PARKWAY RECOVERY CARE CENTER, LLC (NPI# 1922491505) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922491505 |
| Entity Type | Organization |
| Organization Name | PARKWAY RECOVERY CARE CENTER, LLC |
| Practice Address |
100 N Green Valley Pkwy Suite 330 Henderson NV 89074-6391 |
| Practice Telephone | 9725237382 |
| Practice Fax Number | 8008783960 |
| Mailing Telephone | 9725237382 |
| Mailing Fax Number | 8008783960 |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2016-01-08 |
| Authorized Official Name | JEN MORAN (OFFICER /AUTHORIZED OFFICIAL) |
| Authorized Official Telephone | 9727633893 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| Street Address |
100 N GREEN VALLEY PKWY SUITE 330 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89074-6391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366446189 | Parkway Surgery Center, LLC. | Clinic/Center | 100 N Green Valley Pkwy, Ste 125, Henderson, NV 89074-6392 | 2005-06-09 |
| 1205285285 | Pat Escamis | Nurse Practitioner | 100 N Green Valley Pkwy, Suite 239, Henderson, NV 89074-6391 | 2016-06-09 |
| 1184901944 | Parkway Imaging Center, LLC | Clinic/Center | 100 N Green Valley Pkwy, 130, Henderson, NV 89074-6391 | 2011-11-08 |
| 1972732451 | Jenny Hernandez | Nutritionist | 100 N Green Valley Pkwy, Suite 340, Henderson, NV 89074-6391 | 2009-07-06 |
| 1205088895 | Allan Jordan | Specialist/Technologist, Other | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2008-10-15 |
| 1326290016 | Bryan Barnard | Specialist/Technologist, Other | 100 N Green Valley Pkwy, Suite 310, Henderson, NV 89074-6391 | 2008-10-14 |
| 1366643553 | Sylvia C Averitt | Nurse Practitioner | 100 N Green Valley Pkwy, Ste 345, Henderson, NV 89074-7705 | 2007-05-29 |
| 1124234927 | Connie L Knapp | Nurse Practitioner | 100 N Green Valley Pkwy, #345, Henderson, NV 89074 | 2007-05-16 |
| 1699988055 | M Paul Singh Md Prof Corp | Internal Medicine | 100 N Green Valley Pkwy, # 110, Henderson, NV 89074-6391 | 2007-05-08 |
| 1427108604 | Guy A Torres | Obstetrics & Gynecology | 100 N Green Valley Pkwy, 345, Henderson, NV 89074-7705 | 2007-01-11 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194349381 | Samuel Taylor Mulford | Physical Therapist | 9070 W.cheyenne Ave, Suite 100, Henderson, NV 89074 | 2020-06-03 |
| 1407369127 | Brenda Thomas | Dental Hygienist | 234 Polar Morning Place, Henderson, NV 89074 | 2017-11-16 |
| 1174036479 | Gail E Evans Wade | Behavioral Analyst | 1445 Stone Lake Cove, Henderson, NV 89074 | 2017-11-08 |
| 1710400957 | Kimberley Houk | Behavioral Analyst | 20 Avenida Picasso, Henderson, NV 89074 | 2017-07-19 |
| 1760911846 | Colin Ono-moore | Physical Therapist | 3 Rising Sun Ct, Henderson, NV 89074 | 2017-06-12 |
| 1851825764 | Ralph Wieder | Dietitian, Registered | 1005 Wigwam Pkwy, 23206, Henderson, NV 89074 | 2017-04-18 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1275994642 | Malyna Lavarias | Behavioral Analyst | 74 N Pecos Rd., Suite C, Henderson, NV 89074 | 2016-03-14 |
| 1144608290 | Matthew Roderick | Acupuncturist | 2675 Windmill Pkwy Apt 421, Henderson, NV 89074 | 2015-05-08 |
| 1922494764 | Jennifer Romo Santistevan | Pediatrics | 1505 Wigwam Pkwy Ste 230, Henderson, NV 89074 | 2015-04-08 |
| Find all providers in zip 89074 | ||||
| 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 |
|---|---|---|---|---|
| 1194704999 | Henderson County Health Care Corporation | Nursing Facility/Intermediate Care Facility | 851 Kimsey Ln, Henderson, KY 42420-2665 | 2006-01-11 |
| 1669657755 | Eagle Peak Ltc Group, LLC | Nursing Facility/Intermediate Care Facility | 1245 Park Ave, Henderson, NC 27536-4025 | 2008-01-08 |
| 1134316565 | Britthaven, Inc. | Nursing Facility/Intermediate Care Facility | 1245 Park Ave, Henderson, NC 27536-4025 | 2007-10-01 |
| 1639282312 | Henderson Health Care Services, Inc. | Nursing Facility/Intermediate Care Facility | 1621 Front St, Henderson, NE 68371-8902 | 2006-08-16 |
| 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 |
| 1184607632 | Preferred Care West II Inc | Nursing Facility/Intermediate Care Facility | 2860 E Cheyenne Ave, North Las Vegas, NV 89030-4234 | 2005-11-29 |
| 1992707806 | Eljen Medical Hospital | Nursing Facility/Intermediate Care Facility | 5538 Duncan Dr, Las Vegas, NV 89130-2812 | 2005-08-10 |
| 1083612741 | State of Nevada | Nursing Facility/Intermediate Care Facility | 100 Veterans Memorial Drive, Boulder City, NV 89005 | 2005-07-07 |
| 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 |
| 1831494673 | Mojave Mental Health | Nursing Facility/Intermediate Care Facility | 4000 E Charleston Blvd, Ste 230, Las Vegas, NV 89104-6659 | 2011-01-25 |
| 1174766687 | Vetreran Affairs Administration | Nursing Facility/Intermediate Care Facility | 1000 Locust Street, Reno, NV 89520 | 2009-04-14 |
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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.