ELISA KELLY (NPI# 1952871485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952871485 |
| Entity Type | Individual |
| Full Name | ELISA KELLY |
| Practice Address |
1517 Santa Rosalia Dr North Las Vegas NV 89031-1010 |
| Practice Telephone | 7029293297 |
| Practice Fax Number | 7027509927 |
| Mailing Telephone | 7029293297 |
| Mailing Fax Number | 7027509927 |
| Enumeration Date | 2018-11-27 |
| Last Update Date | 2018-11-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251E00000X | Home Health | NV | Agencies |
| Street Address |
1517 SANTA ROSALIA DR |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89031-1010 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083033252 | Nichole Nelson | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2014-04-15 |
| 1184223687 | Jessica Baxter | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-10-26 |
| 1518565860 | Kimberly Brooks | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-10-09 |
| 1346848686 | Gina Mattison | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-10-09 |
| 1639776909 | Shakeva Marshall | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-10-08 |
| 1225645278 | Latoyia Irvin | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-09-24 |
| 1942817994 | Jaime Fountaine | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-09-24 |
| 1205442068 | Shawn Collins | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-09-17 |
| 1467068221 | Angel Lewis | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-09-17 |
| 1447864509 | Marcus Vaughn | Home Health Aide | 1517 Santa Rosalia Dr, North Las Vegas, NV 89031-1010 | 2020-09-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265071039 | Dimuro Facilities Services | Pain Medicine | Dimuro Pain Management, 3970 W Ann Road Ste 100, N Las Vegas, NV 89031 | 2019-12-27 |
| 1225681323 | Jasmine Coleman | Home Health Aide | 1517 Santa Rosalia Dr., North Las Vegas, NV 89031 | 2019-07-18 |
| 1558924134 | Jamie Esprecion | Driver | 3007 Extravagant Ave, North Las Vegas, NV 89031 | 2019-04-18 |
| 1831652387 | Assured Medical Supply, Inc. | Durable Medical Equipment & Medical Supplies | 4461 North Decatur Blvd, Ste 110, N Las Vegas, NV 89031 | 2019-04-11 |
| 1265928550 | Geraldine Alford | Chore Provider | 5150 El Camino Norte Suite 150, Las Vegas, NV 89031 | 2018-07-10 |
| 1861999468 | Danielle Anderson | Counselor | 4528 West Craig Suite 150, Las Vegas, NV 89031 | 2018-04-10 |
| 1871094078 | Ethel Richardson | Chore Provider | 620 Manuel Edwardo Ave, N. Las Vegas, NV 89031 | 2018-02-22 |
| 1124547997 | Crystal Dorin Mcdowell | Counselor | 5920 Palmilla St Unit 5, North Las Vegas, NV 89031 | 2017-09-13 |
| 1699293308 | Mitzi Darnell Adeyemi | Counselor | 2205 Mountain Sunset Ave, North Las Vegas, NV 89031 | 2017-09-01 |
| 1831629500 | Emily Davis | Case Manager/Care Coordinator | 1926 La Villa Dr, North Las Vegas, NV 89031 | 2017-06-15 |
| Find all providers in zip 89031 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992339980 | Quana Williams | Home Health | 3053 W Craig Rd # 252, North Las Vegas, NV 89032-5124 | 2020-02-27 |
| 1285285957 | Ronora Cornal | Home Health | 3928 Copper Stone Ct, North Las Vegas, NV 89032-1224 | 2019-09-24 |
| 1245885045 | Embrace Faith Comfort Care LLC | Home Health | 2221 Englestad St, North Las Vegas, NV 89030-4030 | 2019-08-08 |
| 1053970988 | Danetta Kay Poole-watson | Home Health | 1105 Serengeti Ct, North Las Vegas, NV 89032-7668 | 2019-06-13 |
| 1700357589 | Shiloh Helping Hands, LLP | Home Health | 3550 W Cheyenne Ave # Officea, North Las Vegas, NV 89032-8212 | 2018-12-05 |
| 1629559596 | Rosanetta Smith | Home Health | 1104 Ferguson Ave, North Las Vegas, NV 89030-5391 | 2018-08-28 |
| 1275035826 | Heavenly Angels Home Care Services | Home Health | 517 Count Ave, North Las Vegas, NV 89030-8630 | 2018-02-28 |
| 1578073086 | Solutions Home Health Care | Home Health | 708 Cades Cove Ct, North Las Vegas, NV 89084-1306 | 2017-10-10 |
| 1174060875 | Love,care & Integrity Home Health LLC | Home Health | 5017 Cayman Beach St, North Las Vegas, NV 89031-0995 | 2017-01-19 |
| 1396169066 | Hellena Walker | Home Health | 4017 Fabulous Finches Ave, North Las Vegas, NV 89084-4808 | 2014-02-14 |
| Find all providers in NORTH LAS VEGAS | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89031 |
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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.