Active NPI
Delta Home Health Care LLC
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1073379749
On this page
- Key facts
- Authorized official
- Care Compare: Home health agency
- Medicare participation
- Home health agency certification: CCN 297356
- All disclosed owners & managing parties1
- Medicare enrollment records1
- National Provider Directory
- Specialties & licenses1
- Addresses
- NPI Registry JSON
- Other providers in Las Vegas, NV
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- DELTA HOME HEALTH CARE LLC
- Practice address
- 5600 Spring Mountain Rd Ste 208
Las Vegas, NV 89146-8823 - Phone
- (702) 747-1530
- NPI assigned
- Feb 21, 2024
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Mrs. Beverly Alcala
- Title
- President
- Phone
- (702) 747-1530
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Delta Home Health Care LLC
- Ownership
- -
- Certified
- Nov 21, 2024
- Medicare certification status
- Active
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Home health agency certification: CCN 297356
Medicare enrollment files- Legal name
- DELTA HOME HEALTH CARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 21, 2024
- Last certification
- Nov 7, 2024
- Organization structure
- LLC
- Incorporated
- May 14, 2021 in NV
- Enrollment address
- 5600 Spring Mountain Rd
Ste 208
Las Vegas, NV 89146-8823
All disclosed owners & managing parties 1
Medicare enrollment filesAs disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Beverly Alcala | 5% Or Greater Direct Ownership Interest | May 14, 2021 | 100% |
| Corporate Officer | May 14, 2021 | 100% | |
| W-2 Managing Employee | May 14, 2021 | 100% | |
| Operational/Managerial Control | May 14, 2021 | 100% |
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240611000967 | NV | Part a Provider - Home Health Agency | 3274075825 | Practice locations: Las Vegas, NV |
National Provider Directory
National Provider DirectoryLocations
5600 Spring Mountain Rd
Ste 208
Las Vegas, NV 89146
Phone (702) 747-1530
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
5600 Spring Mountain Rd Ste 208
Las Vegas, NV 89146-8823
Mailing address
5600 Spring Mountain Rd Ste 208
Las Vegas, NV 89146-8823
Phone (702) 747-1530
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 21, 2024.
{
"created_epoch": "1708473600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708473600000",
"number": "1073379749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5600 SPRING MOUNTAIN RD STE 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468823",
"telephone_number": "702-747-1530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5600 SPRING MOUNTAIN RD STE 208",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891468823",
"telephone_number": "702-747-1530"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DELTA HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-02-21",
"last_updated": "2024-02-21",
"certification_date": "2024-02-03",
"status": "A",
"authorized_official_last_name": "ALCALA",
"authorized_official_first_name": "BEVERLY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "702-747-1530",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2024; 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.