Sahara Home Health

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

4432HHA-0 Issued in NV

Legal business name

SAHARA HOME HEALTH

Practice address

10501 W. Gowan Rd
Ste 170
Las Vegas, NV 89129

Phone

(702) 902-2411

Fax

(702) 920-8224

NPI assigned

Aug 28, 2007

Last updated

Jul 17, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nona Lotisto Bautista

Title

Administrator

Phone

(702) 542-5286

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033303615. Details of each certification follow.

• CCN 297154 Home health agency · Active · Details

Home health agency certification: CCN 297154

Legal name

SAHARA HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Aug 13, 2008

Last certification

Nov 4, 2017

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Oct 10, 2013 in NV

Enrollment address

2595 Montessouri St
Las Vegas, NV 89117-3009

Listed as

Sahara Home HealthCCN 297154 · All quality measures

Overall star rating

2 of 5

Ownership

Proprietary

Certified

Aug 13, 2008

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Mohamed Ahmed Ibrahim Eltayeb, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1346761236

  Home health agency

  Care Compare affiliation
• Zahid Hamid, M.D.

  • Specialist
  • Las Vegas, NV
  • NPI 1972526978

  Home health agency

  Care Compare affiliation
• Jonathan Richard Sorelle, M.D.

  • Orthopaedic Hand Surgery Physician
  • Las Vegas, NV
  • NPI 1427150903

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1563321600000",
    "number": "1033303615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W. GOWAN RD",
            "address_2": "STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-902-2411",
            "fax_number": "702-920-8224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W. GOWAN RD",
            "address_2": "STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89129",
            "telephone_number": "702-902-2411",
            "fax_number": "702-920-8224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAHARA HOME HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2019-07-17",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "NONA",
        "authorized_official_middle_name": "LOTISTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-542-5286"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4432HHA-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Syuzanna Sahakyan
• Chelsea Sahami, RN
• Sahara Dental Partners LLC (Boca Dental and Braces)
• Sahara Dental Summerlin (Sahara Dental Professionals)
• Sahara Family Practice, PLLC
• Sahara Home Health
• Sahara Home Healthcare Inc (1Care Home Health Care)
• Sahara Jones Dental of Nevada LLC
• Sahara Limited Group LLC. (West Valley Pharamacy)
• Sahara Medical Center

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.