DANVILLE SERVICES OF NEVADA, LLC


Address: 115 E Shelbourne Ave, Las Vegas, NV 89123-2163
Phone: 7022633224

DANVILLE SERVICES OF NEVADA, LLC (NPI# 1962558072) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1962558072
Entity Type Organization
Organization Name DANVILLE SERVICES OF NEVADA, LLC
Other Organization Name DANVILLE SERVICES SHELBOURNE
Practice Address 115 E Shelbourne Ave
Las Vegas
NV 89123-2163
Mailing Address 9011 W Sahara Ave
Suite 150
Las Vegas
NV 89117-4800
Practice Telephone 7022633224
Mailing Telephone 7028380222
Mailing Fax Number 7028387026
Enumeration Date 2007-01-25
Last Update Date 2020-08-22
Authorized Official Name MARK INOUYE (ADMINISTRATOR)
Authorized Official Telephone 7028380222
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 315P00000X Intermediate Care Facility, Mentally Retarded 29G020 NV Nursing & Custodial Care Facilities

Other Provider/Organization Names

Other Name Type Code
Danville Services Shelbourne Other Name - Individual/Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1629610944 Danville Services of Nevada, LLC Day Training, Developmentally Disabled Services 718 Hardy Way, Mesquite, NV 89027-4300 2019-10-09
1811043912 Danville Services of Nevada, LLC Intermediate Care Facility, Mentally Retarded 7095 Cameron St, Las Vegas, NV 89118-5018 2007-01-25
1669528576 Danville Services of Nevada, LLC Intermediate Care Facility, Mentally Retarded 3640 Citadel Cir, Las Vegas, NV 89118-5215 2007-01-25

Office Location

Street Address 115 E SHELBOURNE AVE
City LAS VEGAS
State NV
Zip Code 89123-2163

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1437714995 Vladimir Jose Pedraza Technician 8330 Collado St, Las Vegas, NV 89123 2019-05-09
1174026017 Jenni Das Behavior Technician 62 E Serene Ave Unit 129, Las Vegas, NV 89123 2018-03-16
1134621717 Catherine Domingo Leanu Technician 9490 Bermuda Road, Apt 1121, Las Vegas, NV 89123 2018-02-28
1801397583 Titus Aldea Technician 8419 Yamhill St, Las Vegas, NV 89123 2018-02-27
1699291997 Angel's Touch Home Care LLC In Home Supportive Care 8382 Marcasel Dr, Las Vegas, NV 89123 2017-08-17
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Taxonomy Information

Taxonomy Code 315P00000X
Grouping Nursing & Custodial Care Facilities
Classification Intermediate Care Facility, Mentally Retarded

Taxonomy Definition

(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c).

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1003425133 Educare Community Living Corporation - Nevada Intermediate Care Facility, Mentally Retarded 2258 Bridlewood Dr, Las Vegas, NV 89119-6121 2020-07-24
1295344430 Educare Community Living Corporation - Nevada Intermediate Care Facility, Mentally Retarded 4575 W Capovilla Ave, Las Vegas, NV 89118-5044 2020-07-23
1578124939 Centers for Neurobehavioral Excellence Intermediate Care Facility, Mentally Retarded 2209 Barchetta Dr, Las Vegas, NV 89134-6028 2019-06-26
1134677735 Pamela Turner Intermediate Care Facility, Mentally Retarded 5831 Delonee Skies Ave, Las Vegas, NV 89131-2087 2016-09-13
1982808200 Educare Community Living Corporation - Nevada Intermediate Care Facility, Mentally Retarded 2025 Houston Dr, Las Vegas, NV 89104-2009 2007-06-12
1073717393 Educare Community Living Corporation - Nevada Intermediate Care Facility, Mentally Retarded 3829 Tumbleweed Ave, Las Vegas, NV 89121-4541 2007-06-12
1083817605 Educare Community Living Corporation - Nevada Intermediate Care Facility, Mentally Retarded 54 E Ford Ave, Las Vegas, NV 89123-1667 2007-06-10
1811043912 Danville Services of Nevada, LLC Intermediate Care Facility, Mentally Retarded 7095 Cameron St, Las Vegas, NV 89118-5018 2007-01-25
1669528576 Danville Services of Nevada, LLC Intermediate Care Facility, Mentally Retarded 3640 Citadel Cir, Las Vegas, NV 89118-5215 2007-01-25
1659720019 Educare Community Living Corporation - Nevada Intermediate Care Facility, Mentally Retarded 7095 Cameron St, Las Vegas, NV 89118-5018 2016-06-07
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City LAS VEGAS
Zip Code 89123

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Dataset Information

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.

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