Christian Hospice, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CHRISTIAN HOSPICE, LLC

Doing business as

Christian Hospice

Practice address

5523 S Eastern Ave
Las Vegas, NV 89119-2312

Phone

(702) 331-3911

Fax

(702) 331-6229

NPI assigned

Jan 6, 2018

Last updated

Jul 2, 2020By 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

Jennifer Basilio, RN

Title

Administrator

Phone

(702) 331-3911

Specialties & licenses 2

Addresses

Other names 1

• Christian Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1083121453. Details of each certification follow.

• CCN 291561 Hospice · Active · Details

Hospice certification: CCN 291561

Legal name

CHRISTIAN HOSPICE, LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Oct 15, 2018

Last certification

Sep 2, 2021

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Sep 27, 2017 in NV

Enrollment address

5523 S Eastern Ave
Las Vegas, NV 89119-2312

Listed as

Christian HospiceCCN 291561 · All quality measures

Ownership

For-Profit

Certified

Oct 15, 2018

Medicare certification status

ActiveFrom the Provider of Services file

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 6

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

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Anisa Melania Valina, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1659719854

  Contracted Managing Employee

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Creek View Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1114524311

  Genesis Management Services LLC

  CMS ownership
• Jazmine Enterprises LLC

  dba Covenant Hospice Care

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1235533597

  Genesis Management Services LLC

  CMS ownership

Affiliated clinicians 1

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

• Anisa Melania Valina, D.O.

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1659719854

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1515196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593648000000",
    "number": "1083121453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5523 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192312",
            "telephone_number": "702-331-3911",
            "fax_number": "702-331-6229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5523 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192312",
            "telephone_number": "702-331-3911",
            "fax_number": "702-331-6229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTIAN HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-06",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A",
        "authorized_official_last_name": "BASILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-331-3911",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": null,
            "primary": true
        },
        {
            "code": "2080H0002X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Hospice and Palliative Medicine",
            "state": "NV",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Christian Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cathryn Ann Christenson
• Tracy Christenson
• Christian Counseling Center, LLC
• Christian H. Stoermer, M.D.LTD
• Christian Hahn DMD PLLC (Luminous Dental)
• Owen August Christian-Schubert, DO
• Beth Christian
• Brodie Christian
• Deenayda Christian
• Ginger Marie Christian

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2020; 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.