Marie Roselle Deseo

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

License

294504 Issued in NV

Practice address

7375 Prairie Falcon Rd Ste 120
Las Vegas, NV 89128-0810

Phone

(702) 869-4401

Fax

(702) 869-9904

NPI assigned

May 11, 2015

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Spring Mountain Rehab, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Las Vegas, NV
  • NPI 1447257456
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1431302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431388800000",
    "number": "1326426362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7375 PRAIRIE FALCON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280810",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7375 PRAIRIE FALCON RD STE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891280810",
            "telephone_number": "702-869-4401",
            "fax_number": "702-869-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DESEO",
        "first_name": "MARIE ROSELLE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-05-11",
        "last_updated": "2015-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": "NV",
            "license": "294504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE",
            "identifier": "294504",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Margarita Desantos, RN
• Alexander Deschaine
• Angela Deschenes
• Feliciano Cabailo Descuatan III, CNA CERTIFIED
• Donna Rivera Desembrana
• Desert Behavior Consultants, LLC
• Desert Behavioral Health
• Desert Behavioral Solutions LLC
• Desert Bloom Home Health Inc
• Desert Bloom Pediatrics, PLLC

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.