STACEY DARCEL MADDEN
Technician (Personal Care Attendant)

Address: 4290 Eagle Island St, Las Vegas, NV 89130-1424

STACEY DARCEL MADDEN (NPI# 1134719933) 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) 1134719933
Entity Type Individual
Full Name STACEY DARCEL MADDEN
Gender Female
Practice Address 4290 Eagle Island St
Las Vegas
NV 89130-1424
Practice Telephone 7028243098
Mailing Address 4290 Eagle Island St
Las Vegas
NV 89130-1424
Mailing Telephone 7028243098
Certification Date 2021-01-25
Enumeration Date 2021-01-25
Last Update Date 2021-01-25
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification Taxonomy Group License Number License State Taxonomy Group
Y 3747P1801X Technician
Specialization: Personal Care Attendant
Nursing Service Related Providers

Office Location

Street Address 4290 EAGLE ISLAND ST
City LAS VEGAS
State NV
Zip Code 89130-1424

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1427646819 Ashly Maestas Registered Nurse · Community Health 4302 Eagle Island St, Las Vegas, NV 89130-1424 2021-01-02

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1356932537 Derrick Jay Love Counselor · Professional 3652 N. Racho Dr, Ste 102, Las Vegas, NV 89130 2021-01-29
1295374031 Mindworks Behavioral Health & Medical Center Clinic/Center · Infusion Therapy 7495 W. Azure Dr., Ste. 240, Las Vegas, NV 89130 2019-12-26
1669033833 Doran Gaston Behavior Analyst 3560 N Rancho Dr., Suite 109, Las Vegas, NV 89130 2019-06-27
1700447547 Lakeisha Lloved Behavior Analyst 3650 N Ranch Dr., Suite 109, Las Vegas, NV 89130 2019-06-24
1952962797 Dana Lloved Behavior Analyst 5650 N. Rancho Dr., 109, Las Vegas, NV 89130 2019-06-24
1316501596 Positively Therapy Counselor · Mental Health 5071 N Rainbow Blvd #170, Las Vegas, NV 89130 2019-04-23
1427518356 Rebecca Aragon Behavior Analyst 5803 West Craig Road, Las Vegas, NV 89130 2019-03-25
1568929198 Clear Choice Therapeutic Center, LLC Community/Behavioral Health 4079 North Rancho Drive, Suite 160, Las Vegas, NV 89130 2019-03-01
1699239095 Jennifer Lee Kearns Rehabilitation Practitioner 3680 N Racho Drive, Las Vegas, NV 89130 2019-01-30
1730651852 Sunrise Adult Day Care Clinic/Center · Adult Day Care 3930 Leon Ave #130, Las Vegas, NV 89130 2018-12-31
Find all providers in zip 89130

Taxonomy Information

Taxonomy Code 3747P1801X
Grouping Nursing Service Related Providers
Classification Technician
Specialization Personal Care Attendant

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1750973293 Raeshan Patton 6500 W Charleston Blvd Apt 457, Las Vegas, NV 89146-9038 2021-02-05
1538751110 Yolanda Guyton 3842 Royal Crest St Apt 4, Las Vegas, NV 89119-7035 2021-02-05
1144812751 Maria Del Carmen Rodriguez 5559 Aleman Dr, Las Vegas, NV 89113-1148 2021-02-04
1750973426 Celeste Perry-Campbell 2306 Bledsoe Ln Apt 125, Las Vegas, NV 89156-5686 2021-02-04
1801487616 Eneyda Rayos Bastidas 2881 S Valley View Blvd Suite 6, Las Vegas, NV 89102 2021-02-03
1225620024 Vilma S Visorde 1500 Karen Ave Apt 46, Las Vegas, NV 89169-8867 2021-02-03
1366033219 Shawna Rose 1332 Palantine Hill Dr, Las Vegas, NV 89117-0855 2021-02-02
1659962496 Johnathan Carpenter 2200 S Fort Apache Rd Unit 1013, Las Vegas, NV 89117-5706 2021-02-02
1972194959 Jocelyn Sumampong 3851 Wynn Rd Apt 1096, Las Vegas, NV 89103-6036 2021-02-01
1912598970 Lisa Lin Ni You 4110 Sanderling Cir Unit 432, Las Vegas, NV 89103-1740 2021-02-01
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89130

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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.