Madelennis Diaz De La Cruz (NPI# 1710580741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider Identifier (NPI) | 1710580741 |
| Entity Type | Individual |
| Full Name | Madelennis Diaz De La Cruz |
| Gender | Female |
| Practice Address |
9490 Bermuda Rd Las Vegas NV 89123-3581 |
| Practice Telephone | 7028816497 |
| Mailing Address |
9490 Bermuda Rd Las Vegas NV 89123-3581 |
| Sole Proprietor | Yes, this individual is a Sole Proprietor |
| Enumeration Date | 2020-11-20 |
| Last Update Date | 2020-11-20 |
| Primary | Taxonomy | Classification | Taxonomy Group | License Number | State |
|---|---|---|---|---|---|
| Yes | 3747P1801X | Technician · Personal Care Attendant | Nursing Service Related Providers |
| State | Identifier | Issuer | Type Code |
|---|---|---|---|
| NV | 1605451958 | MEDICAID |
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124614334 | Xiang Hua Bellino | Technician | 9538 Adobe Arch Ct, Las Vegas, NV 89148-1663 | 2020-12-12 |
| 1578169702 | Preferred Personal Care Services of Nevada Inc. | Technician | 8358 Marcasel Dr, Las Vegas, NV 89123-2387 | 2020-12-11 |
| 1740886050 | Xiu Jun Xue | Technician | 6118 Meadow View Ln, Las Vegas, NV 89103-1126 | 2020-12-10 |
| 1982200622 | Yi Mei | Technician | 9836 Tehama Ct, Las Vegas, NV 89117-0146 | 2020-12-08 |
| 1114523875 | Quang Q Truong | Technician | 8270 Pearl Oasis Ct, Las Vegas, NV 89139-7175 | 2020-12-08 |
| 1831795616 | Jennifer Harper | Technician | 2675 S Nellis Blvd Apt 2173, Las Vegas, NV 89121-7722 | 2020-12-08 |
| 1407451529 | Kimberly Herrera | Technician | 8656 Trafalgar Dr, Las Vegas, NV 89117-2344 | 2020-12-04 |
| 1518561844 | Hue Nhan Nguyen | Technician | 3908 Calle Mirador, Las Vegas, NV 89103-2639 | 2020-11-27 |
| 1740883008 | Conception Olivarez | Technician | 6572 Elk Creek Ln, Las Vegas, NV 89156-3740 | 2020-11-19 |
| 1740883149 | Donna Marie Muprhy | Technician | 3300 N Tenaya Way Apt 5604, Las Vegas, NV 89129-7433 | 2020-11-18 |
| Find all providers in LAS VEGAS | ||||
| Street Address |
9490 BERMUDA RD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89123-3581 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740894096 | Jpn Holdings Corp | Technician | 8275 S Eastern Ave Ste 246, Las Vegas, NV 89123 | 2020-09-03 |
| 1104463488 | Rafaat Yousif Rafael | Technician | 8365 Montgomery St, Las Vegas, NV 89123 | 2019-12-05 |
| 1386287357 | Nadhc At Eastern, Inc | Respite Care | 8695 Eastern Ave., Las Vegas, NV 89123 | 2019-10-23 |
| 1619523677 | Nadhc At Eastern, Inc | Clinic/Center | 8695 S. Eastern Ave., Las Vegas, NV 89123 | 2019-08-15 |
| 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 |
| 1427578152 | Adrianna Jones | Rehabilitation Practitioner | 1901 S. Jones Blvd., Las Vegas, NV 89123 | 2017-06-23 |
| Find all providers in zip 89123 | ||||
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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.