First Access Healthcare Providers, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

FIRST ACCESS HEALTHCARE PROVIDERS, INC.

Practice address

5890 S Durango Dr Ste 100a
Las Vegas, NV 89113-2319

Phone

(702) 902-2345

Fax

(702) 818-3012

NPI assigned

Aug 23, 2014

Last updated

Oct 12, 2021By 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

Maria Theresa R Go

Title

Administrator

Phone

(702) 902-2345

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 1043610306. Details of each certification follow.

• CCN 297214 Home health agency · Active · Details

Home health agency certification: CCN 297214

Legal name

FIRST ACCESS HEALTHCARE PROVIDERS, INC.

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 2, 2015

Last certification

Oct 25, 2018

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Jun 12, 2014 in NV

Enrollment address

5890 S Durango Dr
Ste 100a
Las Vegas, NV 89113-2319
HHA Branch

Listed as

First Access Healthcare Providers, IncCCN 297214 · All quality measures

Overall star rating

3.5 of 5

Ownership

Proprietary

Certified

Dec 2, 2015

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 1

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

Affiliated clinicians 6

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

• Gautam Daulat, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1295709418

  Home health agency

  Care Compare affiliation
• Lee Anne J Jones, DNP, APPN

  • Nurse Practitioner
  • North Las Vegas, NV
  • NPI 1497935902

  Home health agency

  Care Compare affiliation
• Zima Pakzad, MD

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1669747564

  Home health agency

  Care Compare affiliation
• Richard Sy Teh, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1538169008

  Home health agency

  Care Compare affiliation
• Sneha Vinod Philip Thomas, APRN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1235657149

  Home health agency

  Care Compare affiliation
• Tristan T Tran, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1962803635

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1408752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633996800000",
    "number": "1043610306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5890 S DURANGO DR STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132319",
            "telephone_number": "702-902-2345",
            "fax_number": "702-818-3012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5890 S DURANGO DR STE 100A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132319",
            "telephone_number": "702-902-2345",
            "fax_number": "702-818-3012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST ACCESS HEALTHCARE PROVIDERS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-23",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A",
        "authorized_official_last_name": "GO",
        "authorized_official_first_name": "MARIA THERESA",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-902-2345"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 12, 2021; 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.