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Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsMargaret VancilDianna SpeightBetty Sandra RayEdwin AdvinculaJesus Rena Rene PerezErnest SpeightLizbeth PerezSouthern Nevada Personal CareJose RiveraLolita TaquebanDelfina SambasDebbie A WayIrma Chiang RafaelVanxay RasasakAngels in the Midst Home CareEmilie DamasoLizbeth OrtizMaria BarrazaAida Rodriguez-RamirezAngel Valentin CalderonAdelaida Guevarra-TolentinoElijah AkpanLinda CoateMark DelmendoBeulah Michelle UpshawSally SaeliCharleen Gay WinterHarriston BassNelida CalinaMargaret ChildsChristine D. NayExcellent PCAEugene ChenKeri D. NelsonAdvanced Pain Management & Family CareThe Pond House of NevadaFabiana AlfaroEma Gomez MitchellHome Sweet Home Group CarePersonal Caregivers of NevadaBest Choice Home Healthcare IncAmanda GilreathSteven C. WeinShannon Renae TrautmanNenita GloverDustie JacksonNathu id ProviderProvider 0029005002025XX57309005051105X30Associated Legal EntityPersons with controlling interest of 5% or more4/4/2006Golden Acres Retirement HomeHarris & Williams IncRosa LandryCharlita Williams109391029190050564439005041064 266369005056716XX205717101714269005050057 900505678190050531509005042013 1912088923X57X30/48/58X58/301316910326X20Contract TerminationDateAdmired of Las VegasVladmir Saud, Ilona ShukarHolistic Care IncPhil Y. ChenDiane Stewart, Robert C. HammerSonteslou IncSelena PerezBarbara H. CotaNathu Compassionate CareNevada MedicaidSanction TierNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction rmanent12 nentPermanentPermanentPermanent7 FederalFederal23PermanentPermanent12 months12 monthsPermanentPermanent7 years12 deral212 t7 yearsOIGExclusionDateOIG Reinstate 20/20188/10/2017
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsJames E. BeechamEdison DeFiestaObteen Nehemiah NassiriJust a Touch of LoveSu Casa Personal CareSandal A. KellyConsultation & Counseling AssociatesJames R. Eells MDPearl RichardsonLeticia BuchananMario Davis JrCecilia RistauDella KennedyJC Group Home IIMarilyn EddlemanEleanor LarockRodolfo QuinonesMaria Morena AlasMayhill ManorPriscilla Villabroza aka Priscilla Baguisi Pangilinan &Precilla BanguisiAngel Eye HospiceVinay BarariaOcean Adult, Child & Family ServicesAngelia ChupaNelie MagtaasDenise DillYolanda HoskinsVictor Manuel Socarras-CarmenatesGraceful TouchGwynne CunninghamDeangelo HendersonJummal Joy IbrahimJessica EnamoradoNatasha R. LambertDaniel GuyAlvin Sil OhRatasha D. BatesLilia A. SerranoCorazon MurilloTammy K. MurphyJianzhu LiangEugene Porreca MDMarcen Home Care SvcsAmy Jean Grover aka Amy Jean HutchinsonPatricia CaldwellOcean Adult, Child & Family ServicesFelicia K. WesleyOsbel RodriguezGloria RepolloAlbert Szu Yun Yeh MDUpdated:4/5/2022Sanctioned/ExcludedNPIMedicaid ProviderProvider Type1780645648X20Lab Medicine 417103736751679546139 30141420148282Dare to DreamAddus Healthcare NV ciated Legal EntityPersons with controlling interest of 5% or moreShonna McKnightSandal A. KellyUnity Family ServicesMario Davis JrMario Davis Jr145758Unity Family ServicesJove V. ChanJove V. ChanX57Naidas Enterprises IncPrudence Landicho, Luz ngel Eye Hospice IncVinay BarariaOcean Adult, Child & Family ServicesCamilo Q. Primero1891093621X30Graceful TouchCharles W. Mitchell1346481728Marvie Lee HillGolden Heart Medical Supply12858025539005041585XX3658Las Vegas Pain Institute & Medical18715626529005055734XX2030Eugene Porreca MDMarcen Home Care SvcsEugene Porreca MDMarieta G. EmeloJoseph Lewellyn196243241720Contract TerminationDateNevada MedicaidSanction TierNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction al2FederalPermanentPermanentPermanent7 years12 months12 months12 months12 months12 months12 monthsPermanentPermanent12 monthsPermanent12 monthsPermanentPermanentPermanent7 FederalFederal2FederalPermanent12 months12 t12 tPermanentPermanentPermanentPermanentPermanent7 FederalFederal12 20/201312/20/2013OIGExclusionDateOIG Reinstate Date
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsSara Vilchis-MendezZion Safe Haven LLCRoderick HillJoyce M. HillJames HannaMarcia GillerJanice V. BurchAchievement Day ProgramRosalba SanchezFlotsol IncJoy Mobility & Medical SuppliesJoy Mobility & Medical SuppliesAurora Volero-AlvarezBaljinder Singh PannuRainbow Child & Family ServicesDella KennedyUnity Family ServicesGuardian AngelsTyrone StarksConstance D. EdwardsRichard HilerEdden LynnCarol NanasLorretta NasonCharleston ResidentialCraig ThomasErik BadgettSearchlight Healthcare CharitiesCassandra D. LittleLuzviminda R. JoseNiurvis RodriguezGarren MorrisIni OdongHealTherapy of NVAlegria C. Phankonsy aka Alegria SouvannavongKatherine RiveraAnil MathurErnesto Guerra-PerezRonald E. LakemanDipak K. Desai MDMarlo VinsonKeith MathahsYolanda RodriguezIsidora DeGuzmanMary Jennifer AgsaludEnriqueta TrinidadWilliam id ProviderProvider Type137684448010031149841801185731XXX141414Zion Safe Haven LLCZion Safe Haven LLCZion Safe Haven LLCRoderick & Joyce M. HillJoyce M. HillJoyce M. Hill1902044084X14Achievement Day ProgramAdreana Robinson1205012812X33Flotsol IncOluwole & Latasha Adegboruwa & Debra L. Jones1912167149 90050483091912167149 9005048309XX3333Joy Mobility & Medical SuppliesJoy Mobility & Medical SuppliesEnriqueta TrinidadEnriqueta 253025731174881924XX1414Rainbow Child & Family ServicesUnity Family ServicesUnity Family ServicesMary Jo Jones aka Mary Jo GilMarvie Lee Hill, Eddie WormwoodLauren McFaddenAssociated Legal EntityX14X30Guardian 106049XXXXX5757821420The Charleston ik BadgettTroy P. Bertoli MDUnity Family ServicesHigh Desert State PrisonHealTherapy of NVDME Company20LV Home Sweet HomePersons with controlling interest of 5% or moreErik BadgettTroy P. Bertoli MDSuzanne Pindell, Terra ShepherdContract TerminationDateNevada MedicaidSanction TierNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction l333FederalFederalFederal3Federal3Permanent12 months12 months12 monthsPermanentPermanentPermanent12 monthsPermanent12 7/4/20137/18/201333FederalFederalFederal3Federal12 months12 monthsPermanentPermanentPermanent12 alFederalFederalFederalFederalFederalFederal12 tPermanent12 monthsPermanent12 months12 tPermanentPermanentPermanentOIGExclusionDateOIG Reinstate /201411/20/201411/20/20146/20/2013
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsLeni AlstonSherice J. WilliamsLawrence Care Homes IIBennette R. ManalangPatricia BuschSyed Ahmed MDUnited Medical SuppliesKent SwaineSue Ellen MoncriefDawnie J PratoCarol Ann ThompsonMalinda Gina MartinezEdgar Poot CasimiroAlexandria Nicole LindsaySara Ann WestNova Housing for HopeLC ProvidersYouth EmpowermentSolange PhillipsWilliam R. Butkovich JrDena Rae FarleyKenisha Wright-AbeeneMohsina HaroonUrsula A. St ClairBeverly D. MadridNancy MortonStephanie SieradJian P. YaoRoxanne MatneyIrene MarquezDana BrownTransparent Mental HealthJoseph ScottJessica FinkChristine MooreMaritza E. ValazquezLela MerrellLinda LamuryShana WickershamOluwole AdegboruwaVictor SuttonTanya TroupMary Jo Jones (Gil)Ian PincombeTonya RushingCornell HornLula Denise BrownSusan CusimanoDarwin Rosales EstigoyTammy Lyne ArnsBonnie Lynn dicaid ProviderProvider 58122537111518617772031508200676XXXX1482141424LC ProvidersYouth EmpowermentHope Counseling9005058076X58Kenisha 9101174821367XXXXX5858141414Diagnostic CareTransparent Mental HealthTransparent Mental 3982581437459948XXXXXX143314148214Shana WickershamFlotsol IncAssertive Living LLCSerenity Mental HealthMary Jo Jones (Gil)Mobile Mental HealthAssociated Legal EntityLawrence Care Homes IIPersons with controlling interest of 5% or moreLillie BrooksUnited Medical SuppliesLeasa CarterJovan JacksonDana BrownJoseph ScottJoseph ScottOluwole AdegboruwaVictor SuttonContract 20/20159/20/20159/20/2015Nevada MedicaidSanction ederalFederalFederalFederalNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction tPermanentPermanent12 tPermanentPermanent7 years7 years12 months12 tPermanentPermanentPermanentPermanent12 months12 months7 years7 years7 7 YearsPermanentPermanent7 yearsPermanent12 rmanentPermanentOIGExclusionDateOIG Reinstate 0226/18/20227/21/20165/27/2015
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListSanctioned/ExcludedNPIMedicaid ProviderProvider TypeMichiko Nicole MartinJeremy LongJan ThompsonDavid MoonElisa SeeringAlways There 4 YouAlways There 4 YouA New Day Adult Daycare and Outpatient TreatmentCenterVictor BruceSwanlake Medical CenterNathaniel DavisAshley CoxAccelerated Behavior Management d Randall KramerMaurqesha McAlisterDonna MinorKarleasa RatcliffMary MontgomerySilver State Behavioral Health & RehabDreana Lynn SweeneyGrace McKinleyKelsie Brooke FreshourThuan Kiem TranJahquel Jarod ColemanJessyca GibsonBelina K ThompsonMahesh Reddy KuthuruKevin Jesus CummingsJohn BanksThe Empowerment CenterTanja FordJill Schroeder aka Jill NelsonJade LepomaTera Lynn CooperKenneth Lynn ArnoldSankofa Providers of Nevada IncAffiliated HealthcareSteppin Out Family Services LLCExcluded Providers/Entities and/or IndividualsNo Child Left BehindCandia TolbertLisa Ann Brummond aka Lisa A TrociskeJustin Daine Curnutt aka Justin D CurhottDeborah K Koppen aka Deborah K AdamsOliver Lawrence WoodmanMichael Roy ChaseDavid R ArmitageUpdated:4/5/2022Associated Legal EntityPersons with controlling interest of 5% or moreFrom the Heart-Mary Tory IncSerenity Mental HealthAccelerated Rehab and PainBPT LLCAlways There 4 YouAlways There 4 170156XX2020Swanlake Medical CenterX141902198435X82Vegas Valley Behavioral HealthAccelerated Behavior 28282141414Silver State Behavioral HealthLC ProvidersSilver State Behavioral HealthHelping Others Help ThemselvesSilver State Behavioral Inc.18314706731063721124XX1482Serenity Mental HealthNova Housing for 2414XXXX20141414Kuthuru Desert Pain 4Lill Fiore, Michelle FioreLill Fiore, Michelle FioreJohn OshiVictor BruceJavoughn BrownAkilah BennettMarcus McConico Lawrence CarterT & J AssociatesKenneth Lynn ArnoldSimmon WilcoxLinda F Crutcher-AustinMalaya IncMalaya IncCandia TolbertContract TerminationDateNevada MedicaidSanction TierNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction deral333PermanentPermanent12 months12 monthsPermanent12 months12 months12 deralFederalFederal2222Permanent12 months12 months12 months12 months7 PermanentPermanentPermanentPermanentPermanent12 monthsPermanentPermanentPermanentPermanent7 years7 years7 years7 28/20238/29/20231/18/20182/20/20182/20/2018OIG Reinstate Date
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsAdvanced Behavioral CareIrinia V BarikyanWilliam AlvearSt Louis Medical Center LLCAlexis JohnsonSonya MahiaiSimmon WilcoxJacqueline LewisBelafonte L AndersonErin SprySolomon's Porch Counseling CenterKhaleela WilsonLinda F Crutcher-AustinKenneth BlakeMamie Hubbard-WashingtonMichael Stanley KaplanCharlene Screeton-PetriPriscilla Villabroza aka Priscilla Baguisi Pangilinan &Precilla BanguisiMeadow Valley PharmacyChristopher B AncellPangallos House of Care Counseling CenterJohn PangalloRoberta PangalloHigh Definition IncClear Minds LLCAnthony M StatenMillicent EpinoBalbir BhogalElizabeth GertonMarcus Durand KnightSamantha ThomasAngela WalkerIsmail Sabri AlshikhlyGovind V KokaArmenui Armine Bezayanaka Amy BezyanMaryann Magcalas Sisonaka Maryannn MagcalasKelly Jean PayneTonya Martin-LoweShepherds Heart Services LLCHenrietta BinfordTop Notch Behavioral Health Service, LLCRobert Earl BaileySierra MasonKristen d ProviderProvider 1142153241376087700N/A1083152458XXXAssociated Legal EntityAdvanced Counseling Group, LLCSt Louis Medical Center LLCPersons with controlling interest of 5% or moreJoseph DakarusSompong SavatdyWilliam AlvearElizabeth AlvearAffiliated HealthcareSolomon's Porch Counseling CenterJohn W. Phipps, Dina PhippsKenneth Blake JrCharlene ScreetonAdam KatschkePangallos House of Care Counseling CenterPangallos House of Care Counseling CenterJohn PangalloRoberta PangalloAnthony M StatenAnthony M Staten, Nastazia Guy141414N/A14Shepherds Heart Services, LLCHenrietta BinfordRobert BaileyContract TerminationDateNevada MedicaidSanction TierNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction 11/20/201611/20/20164/20/2016 lFederalFederalFederalFederal12 ermanent7 FederalFederalFederal1FederalFederalFederal7 years7 yearsPermanent7 years7 alFederalPermanentPermanent12 months12 17OIGExclusionDateOIG Reinstate 18/20181/18/2018
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsJohn G Florendo, SrSharon MolinariAdam Paul KatschkeDon PosadasTiffany DaySebastian Paulin Jr M.D.Raymond NulphDarrin MessinaLeah SmithJohn Weston PhippsGeorge Chambers JrChambers & Associates OBGYN and GynecologicalSurgery, PLLCSP Counseling Center LLCKenneth HollingsworthCornerstone Counseling Center LLCMagdalena Luvisminda VillanuevaSanctioned/ExcludedNPIMedicaid ProviderProvider 97159X141215392196X141730426685X82Associated Legal EntityPersons with controlling interest of 5% or moreAdvance Counseling Group LLCChambers & Associates OBGYN and Gynecological George Chambers JrSurgery, PLLCSP Counseling Center LLCJohn PhippsDon PosadasZions Safe HavenCrossroads Counseling Center LLCJohn W. PhippsJena MortonGeorgia RussellWalnut Retirement HomeEffective 8/1/2017 all column titles have been updated to separate Nevada Medicaid Sanctions and Office of the Inspector General Exclusions.Norma Elizabeth Dickenson aka Norma ScottTiffany Ladana SimmonsJMD Counseling & Outreach Center DBA Finding MyWay Counseling CenterAlejandro InceraIncera LLCJorge Y BurgosJorge YBurgos MD PCHelix Medical Equipment IncAaron Williams Therapy LLCShawnnyce Deonne Dawson aka Shawnnyce DeonneNuttBinh Minh Chung aka Ben Minh ChungHenri WetsellarEdward Ray QuarlesLove and Peace BHS LLCAnita's HeroesAngela L LorenzoTamara Sue McManigell-Hayden akaTamara McManigell akaTamara Hayden aka Tamara MeyerPortia Malacad CimpermanBryan Sandiego SamsonNevada Healing Services LLCHealing Life LLCLife Healing LLCJesikuh Lynn DoliasLatanya R Horton aka Latanya R 41414JMD Counseling & Outreach CenterDonna WalkerLas Vegas Pain Institute & MedicalAlejandro Incera PHDJorge Y Burgos MD PCAlejandro InceraSankofa Behavioral Health AgencyJorge Y BurgosAngelo PetrilliAaron WilliamsContract TerminationDateJessica BrownSaisha MooreJoseph SmithNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction 7/20171311321Permanent12 monthsPermanentPermanent12 months7 nentPermanentPermanentPermanentPermanent12 anentPermanent7 years12 months12 2017Angie Lorenzo PA-C LTDFaith in Life Counseling CenterNevada MedicaidSanction /20/201712/29/20182/5/20252/5/20192/5/2019OIG Reinstate /18/2018
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsSanctioned/ExcludedNPIMedicaid ProviderProvider TypeAssociated Legal EntityPersons with controlling interest of 5% or moreContract TerminationDateMelissa Marie BrownKathleen Frances BerneckyLindsey Brianne HamreyMelissa Anne GatesMarian Frances EwingJorge Luis Santiage LopezDebra Ann ColbertLizzagaye MurphyQuinn Frances FlynnWakila Monique RussEffective February 23, 2018 Nevada Medicaid Sanction Tiers Updated.Henderson Family Health LLCApostolic Behavioral Health IncCarol KirbyHumble Hearts LLCJasmine BaileyChances Behavioral HealthJoe BriceEsperanza Family Counseling Services LLCMica CopelandAbove and Beyond Behavioral HealthRegina BriceSecond Chance ResourcesZephra JacksonSticks and Stones Behavioral HealthTonia McCandlessAllied Behavioral Health ServiceMadlynn McClendonLighthouse Behavioral Healthcare Services LLCAntonette S HarrisSam HarrisUplifting Behavioral Health LLCMarcus MillnerKrystal MillnerInternational Behavioral Health LLCBilly Kirby2nd Helpings Behavior Health ServicesPorchett WardDavid A LitwinBabak Razzaghi-ShishavanMahogany BoydRobert Gene RandKeith SpresserJeanice Rae Moore aka Jeanice Rae EwingHermelina Janer MarcosJillian Megan Chase PrattGregory Brent Dennis, 29593538XXXXXX141414141414Apostolica Behavioral Health IncHumble Hearts LLCChances Behavioral HealthEsperanza Family Counseling Services LLCAbove and Beyond Behavioral HealthSecond Chance ResourcesSticks and Stones Behavioral HealthAllied Behavioral Health Service1891174223X14Lighthouse Behavioral Healthcare Services LLC143754105912154712301740721505Jasmine BaileyJoe BriceMica CopelandRegina BriceZephra JacksonTonia McCandlessMadlynn McClendonAntonette S HarrisSam HarrisLighthouse Behavioral Healthcare Services LLC16092681921144772302Rebecca BoydCarol KirbyXXX141414Uplifting Behavioral Health LLCUplifting Behavioral Health LLCInternational Behavioral Health LLC2nd Helpings Behavior Health ServicesMarcus MillnerKrystal MillnerBilly KirbyPorchett 3105X823/19/2018X26G Brent Dennis IncNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction 562221Nevada MedicaidSanction TierOIGExclusionDateOIG Reinstate 20/20185/20/20185/20/20181/7/2019
Nevada Medicaid Sanctions/Office of Inspector General Exclusions ListExcluded Providers/Entities and/or IndividualsSanctioned/ExcludedNPIMedicaid ProviderProvider TypeXX1414X14Shavon Marie HillLevada HouseAriell DixTruckee Meadows Mental Health135654408412153058181831504430Derrick JohnsonDelhi Independent Living Homes1750608634X141891142188X14Ken RollinsSabrina DillinghamHeros LLCSemaj WhiteQuality Independent CareJon R WataseReady To Help Behavior Health Services LLCDarrell ThomasLifetime Assistance X14Nneka GibneyAbove and Beyond LLCMichael ThomasOwen OsazuwaGrace Care CenterEudora MordiNoble Horizons of cia NgateRaymond NgatePaula A Releford LLCPaula RelefordFoundation Stone Family Services IncLeshay HarrisBenk, DavidGrant A Gift Autism FoundationLynda TacheDiamond Mental HealthConstance KnightWe Care Behavioral Health Services Agency 4164965541618013199341184147217XX1414Daniel Frank MasseyHeather Ann MentaberryNicholas John Capos JrJohn Christopher HarrisRichard James SettlesWood, Jene ChristenBecause We Care, LLCKevin QuickKieth Richard SpresserSage Brush Behavioral Health LLCJacqueline De La CruzUpdated:4/5/2022Associated Legal EntityMaple Star Nevada NorthDerrick Johnson 83X14Ariell DixDerrick JohnsonSabrina DillinghamKen RollinsSemaj WhiteJon Richard WataseReady To Help Behavior Health Services LLCUplift Project IncGrace Care CenterGrace Care CenterNoble Horizons of NevadaNoble Horizons of NevadaDarrell ThomasAriell DixNneka GibneyMichael ThomasEudora MordiPatricia NgateRaymond NgatePaula A RelefordLeshay HarrisLynda TacheDiamond Mental Health14109372655615284402111891798153Persons with controlling interest of 5% or moreConstance KnightTeneshia SpencerBriana SpencerContract TerminationDateSage Brush Behavioral Health LLCNevada Medicaid Nevada Medicaid SanctionPeriod End DateSanction 2 months12 months12 months12 rmanentPermanentPermanentPermanentPermanent12 months12 months7/20/20
Rainbow Child & Family Services Della Kennedy Unity Family Services 1912167149 9005048309 1912167149 9005048309 1174818223 1689963274 1962667527 X X X X 33 33 14 14 . Nevada Medicaid . 1 Nevada Medicaid . Permanent . Nevada Medicaid Sanctions/Office of Inspector General Exclusions List .
