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Jessica Leeann Benjamin
PACE Provider Organization in North Las Vegas, Nevada
NPI 1881308393

Jessica Leeann Benjamin is a PACE Provider Organization based in North Las Vegas, NV. Jessica Leeann Benjamin practices in North Las Vegas, NV. The NPI Number for Jessica Leeann Benjamin is 1881308393 and holds a License No. 00016261488072701238 (Nevada).

The current practice location address for Jessica Leeann Benjamin is 2525 Donna St Apt D, North Las Vegas, NV and can be reached out via phone at 909-991-9464.

Location: 2525 Donna St Apt D, North Las Vegas, NV, 89030-5571
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1881308393
Provider Name
Jessica Leeann Benjamin
Credential
Provider Entity Type
Individual
Gender
Female
Address
2525 Donna St Apt D, North Las Vegas, NV, 89030-5571
Phone Number
909-991-9464
Fax Number
Provider Enumeration Date
01/09/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
120027855 05 NV
institution
Provider Business Practice Location Address Details
Address
2525 Donna St Apt D
City
North Las Vegas
State
Nevada
Zip
89030-5571
Phone Number
909-991-9464
Fax Number
person
Provider Business Mailing Address Details
Address
2525 Donna St Apt D
City
North Las Vegas
State
Nevada
Zip
89030-5571
Phone Number
909-991-9464
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Program of All-Inclusive Care for the Elderly (PACE) Provider Organization
Speciality
-
Taxonomy
251T00000X
License No.
00016261488072701238 (Nevada)
Definition
A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
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