GRACE HOLLAND NPI 1013558923

Technician (Personal Care Attendant) in Las Vegas, NV

Individual Female Technician Personal Care Attendant

About GRACE HOLLAND

Grace Holland is a provider established in Las Vegas, Nevada and her medical specialization is technician. The NPI number of Grace Holland is 1013558923 and was assigned on October 2019. The practitioner's primary taxonomy code is 3747P1801X. The provider is registered as an individual and her NPI record was last updated October 2019.

NPI

1013558923

Provider Name GRACE HOLLAND
Provider Location Address5175 JERRY TARKANIAN WAY UNIT 20108 LAS VEGAS, NV 89148
Provider Mailing Address2980 S RAINBOW BLVD STE 110-C LAS VEGAS, NV 89146
GenderFemale
NPI Entity TypeIndividual
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-01-2019
Last Update Date10-01-2019

Primary Taxonomy

Taxonomy Code3747P1801X
ClassificationTechnician
TypeNursing Service Related Providers
SpecializationPersonal Care Attendant
Taxonomy DescriptionAn 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

Business Address

GRACE HOLLAND
5175 JERRY TARKANIAN WAY UNIT 20108
LAS VEGAS, NV
ZIP 89148
Phone: (708) 929-8391

Get Directions

Mailing Address

GRACE HOLLAND
2980 S RAINBOW BLVD STE 110-C
LAS VEGAS, NV
ZIP 89146
Phone: (702) 580-0012
Fax: (702) 665-6929

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1629619119 HECTOR REYES
Individual
Technician (Personal Care Attendant)5175 JERRY TARKANIAN WAY UNIT 20108
LAS VEGAS, NV 89148
(708) 929-8391
1821639907 LORENZO REFE
Individual
Technician (Personal Care Attendant)5175 JERRY TARKANIAN WAY UNIT 20108
LAS VEGAS, NV 89148
(708) 929-8391

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

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