Active NPI
Anisa Lenee McNeal
- Home Health Agency
- North Las Vegas, NV
National Provider Identifier
1821391681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Practice address
- 720 W Cheyenne Ave
#30
North Las Vegas, NV 89030-7807 - Phone
- (702) 487-5665
- NPI assigned
- Dec 15, 2010
- Last updated
- Mar 7, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NV | Primary | |
| Behavior Analyst | 103K00000X | 251S00000X | NV |
Addresses
Primary practice location
720 W Cheyenne Ave
#30
North Las Vegas, NV 89030-7807
Mailing address
1100 Meridian Bay Dr # 30
Las Vegas, NV 89128-1625
Phone (702) 772-2266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1703386308 | Medicaid | NV |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 251S00000X | NV | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Angel Wings Home Care LLC | Current | Accepting new patients | |
| Southern Nevada Children First | Past | Accepting new patients | |
| Southern Nevada Children First | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1073260329
-
- Community/Behavioral Health Agency
- Las Vegas, NV
- NPI 1437384229
-
- Mental Illness Community Based Residential Treatment Facility
- North Las Vegas, NV
- NPI 1457760464
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1292371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646611200000",
"number": "1821391681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MERIDIAN BAY DR # 30",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891281625",
"telephone_number": "702-772-2266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W CHEYENNE AVE",
"address_2": "#30",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890307807",
"telephone_number": "702-487-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEAL",
"first_name": "ANISA",
"middle_name": "LENEE",
"name_prefix": "Ms.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-15",
"last_updated": "2022-03-07",
"certification_date": "2022-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": null,
"primary": true
},
{
"code": "103K00000X",
"taxonomy_group": "",
"desc": "Behavior Analyst",
"state": "NV",
"license": "251S00000X",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1703386308",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.