NPIMap

Organization Active NPI

Nevada Home Health Providers, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1043419344
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4091HHA-2 Issued in NV
Legal business name
NEVADA HOME HEALTH PROVIDERS, INC.
Practice address
1210 S Valley View Blvd Ste 100
Las Vegas, NV 89102-1857
Phone
(702) 382-8331
Fax
(702) 382-9346
NPI assigned
Jul 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Miss Lorilyn T. Dunkelman-Faraon, RN
Title
Administrator
Phone
(702) 382-8331

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4091HHA-2 NV Primary
Home Health Agency 251E00000X 5579HHA-9 NV

Addresses

Primary practice location

1210 S Valley View Blvd Ste 100
Las Vegas, NV 89102-1857

Mailing address

1210 S Valley View Blvd Ste 100
Las Vegas, NV 89102-1857
Phone (702) 382-8331

Other identifiers 1

IdentifierTypeStateIssuer
100512595MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050510000466 NV Part A Provider - Home Health Agency 2062452998 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297134

Legal name
NEVADA HOME HEALTH PROVIDERS, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 6, 2007
Last certification
Feb 7, 2007
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jun 2, 2004 in NV
Enrollment address
1210 S Valley View Blvd
Ste 100
Las Vegas, NV 89102-1857

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nevada Home Health Providers IncCCN 297134
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Feb 6, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2028231Nevada Home Health Providers, Inc1210 S Valley View Blvd Ste 100, Las Vegas, NV 89102Certificate of waiverAug 10, 2027

National Provider Directory

National Provider Directory
Tax ID family
Nevada Home Health Providers Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1210 S Valley View Blvd
Ste 100
Las Vegas, NV 89102
Phone (702) 382-8331

Ownership & related parties

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.

NameRoleSinceShare
Agnes B Infantado Individual Corporate OfficerBoard Member Jan 5, 2019 100%
Lorilyn Dunkelman Faraon Individual 5% Or Greater Direct Ownership InterestChairman of the Board Jul 8, 2011 100%
Corporate OfficerCeo/Admin. Jul 8, 2011 100%
Corporate DirectorAdmin/Ceo Apr 15, 2012
W-2 Managing EmployeeAdministrator Jul 8, 2011 100%

Practitioners & affiliated clinicians

Affiliated clinicians 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1043419344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 S VALLEY VIEW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021857",
            "telephone_number": "702-382-8331",
            "fax_number": "702-382-9346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 S VALLEY VIEW BLVD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891021857",
            "telephone_number": "702-382-8331",
            "fax_number": "702-382-9346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA HOME HEALTH PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-16",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DUNKELMAN-FARAON",
        "authorized_official_first_name": "LORILYN",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-382-8331",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4091HHA-2",
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "5579HHA-9",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100512595",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.