Organization Active NPI

Holy Trinity Home Health, LLC.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1104646215
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HOLY TRINITY HOME HEALTH, LLC.
Practice address
1641 E Flamingo Rd Ste 13
Las Vegas, NV 89119-5257
Phone
(702) 742-2565
Fax
(702) 331-4756
NPI assigned
Oct 14, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Authorized official

Name
Joanne Fangon Lontoc, RN
Title
Don
Phone
(702) 742-2565

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1641 E Flamingo Rd Ste 13
Las Vegas, NV 89119-5257

Mailing address

1641 E Flamingo Rd Ste 13
Las Vegas, NV 89119-5257
Phone (702) 742-2565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241231001491 NV Part A Provider - Home Health Agency 5991232035 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297380

Legal name
HOLY TRINITY HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 22, 2025
Last certification
May 6, 2025
Organization structure
LLCProprietary
Enrollment address
1641 E Flamingo Rd
Ste 13B
Las Vegas, NV 89119-5257
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Holy Trinity Home Health, LLCCCN 297380
Ownership
-
Certified
May 22, 2025
Medicare certification status
ActiveFrom the Provider of Services file

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
29D2312218Holy Trinity Home Health, LLC1641 E Flamingo Rd Ste 13, Las Vegas, NV 89119Certificate of waiverOct 6, 2026

National Provider Directory

National Provider Directory

Locations

1641 E Flamingo Rd
Ste 13
Las Vegas, NV 89119
Phone (702) 331-1426

1641 E Flamingo Rd
Ste 13B
Las Vegas, NV 89119
Phone (702) 742-2565

Ownership & related parties

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.

NameRoleSinceShare
Joanne Lontoc Individual 5% Or Greater Direct Ownership InterestOwner/Don Apr 5, 2024 100%
W-2 Managing EmployeeDon/Owner Apr 5, 2024 100%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

NPI Registry JSON

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

{
    "created_epoch": "1728864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728864000000",
    "number": "1104646215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-742-2565",
            "fax_number": "702-331-4756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1641 E FLAMINGO RD STE 13",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195257",
            "telephone_number": "702-742-2565",
            "fax_number": "702-331-4756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY TRINITY HOME HEALTH, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-14",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A",
        "authorized_official_last_name": "LONTOC",
        "authorized_official_first_name": "JOANNE",
        "authorized_official_middle_name": "FANGON",
        "authorized_official_title_or_position": "DON",
        "authorized_official_telephone_number": "702-742-2565",
        "authorized_official_credential": "RN"
    },
    "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

Verify at the official NPI Registry.