DHARLY GRACE CAMBONGGA DELA PENA
Technician (Personal Care Attendant)

Address: 5122 Spencer St, Las Vegas, NV 89119-2126

DHARLY GRACE CAMBONGGA DELA PENA (NPI# 1962097964) 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) 1962097964
Entity Type Individual
Full Name DHARLY GRACE CAMBONGGA DELA PENA
Gender Female
Practice Address 5122 Spencer St
Las Vegas
NV 89119-2126
Practice Telephone 7024802133
Mailing Address 5122 Spencer St
Las Vegas
NV 89119-2126
Mailing Telephone 7024802133
Certification Date 2021-03-02
Enumeration Date 2021-03-02
Last Update Date 2021-03-02
Is Sole Proprietor Y

Taxonomy

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

Office Location

Street Address 5122 SPENCER ST
City LAS VEGAS
State NV
Zip Code 89119-2126

Providers in the same zip code prefix

NPI Name Taxonomy Address Enumeration
1669089298 Jennifer Chavon Cruse Technician · Personal Care Attendant Safeathomecaregiver@gmail.com, 1775 East Tropicana Avenue 16-B, Las Vegas, NV 89119 2020-09-28
1063024214 Rosa Isela Martinez Gonzalez Technician · Personal Care Attendant 4324 S. Eastern Ave. Ste. B, Las Vegas, NV 89119 2020-08-19
1720697980 Christian Scott Social Worker · Clinical 4055 Spencer St #118, Las Vegas, NV 89119 2020-07-23
1245867159 Starfruit Holdings, LLC Skilled Nursing Facility 4375 S Eastern Ave, Paradise, NV 89119 2020-03-23
1215562376 Phyllis Eberechukwu Hunt Adult Companion 5160 Tamarus St Appt 17, Las Vegas, NV 89119 2020-03-10
1346888997 Marilou Ramos Adult Companion Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-12-13
1841832581 Legna Carrillo Adult Companion 4325 South Bruce St Appt 63, Las Vegas, NV 89119 2019-10-15
1104468339 Alma Leticia Salazar Home Health Aide Safe At Home, LLC, 1775 E. Tropicana Ave. Suit 16-B, Las Vegas, NV 89119 2019-10-09
1528617818 Amanda Lucrecia Contreras Adult Companion Safe At Home LLC, 1775 E Tropicana Ave Ste 16, Las Vegas, NV 89119 2019-09-09
1164070512 Yannet Karina Hernandez Ibarra Technician · Personal Care Attendant 5160 S. Eastern Ave, Suite E, Las Vegas, NV 89119 2019-08-29
Find all providers in zip 89119

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
1063007516 Irisleydis Alvarez Rodriguez 1650 E Sahara Ave Ste 4, Las Vegas, NV 89104-3495 2021-03-06
1013502665 Kelly J Noriega 2881 S Valley View Blvd Ste 6, Las Vegas, NV 89102-0171 2021-03-05
1144815796 Charniqua Mumphery 3365 Wynn Rd Ste B, Las Vegas, NV 89102-8202 2021-03-05
1336734839 Liliannie Diaz 820 Rancho Ln Ste 40, Las Vegas, NV 89106-3806 2021-03-05
1386239879 Fernanda Cabellon 5858 S Pecos Rd # I-100, Las Vegas, NV 89120-5401 2021-03-05
1306431044 Eric Malott 1915 S 15th St, Las Vegas, NV 89104-3110 2021-03-04
1245825983 Rachel Peterson 3796 Florrie Ave, Las Vegas, NV 89121-4637 2021-03-04
1194310847 Askaion Jones 1432 E Hacienda Ave, Las Vegas, NV 89119-8435 2021-03-04
1174118806 Aryonna Kline 10175 Climbing Lily St, Las Vegas, NV 89183-7308 2021-03-04
1841885589 Amber Butkovich 4362 Caliente St Apt 8, Las Vegas, NV 89119-5803 2021-03-04
Find all providers in LAS VEGAS

Competitor

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City LAS VEGAS
Zip Code 89119

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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.