Organization Active NPI

Las Vegas Home Health Providers LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1104664028
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAS VEGAS HOME HEALTH PROVIDERS LLC
Practice address
3111 S Valley View Blvd Ste A217
Las Vegas, NV 89102-7702
Phone
(702) 302-3155
NPI assigned
Jul 16, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Authorized official

Name
Mary Rachelle Funtila
Title
Owner/President
Phone
(702) 302-3155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3111 S Valley View Blvd Ste A217
Las Vegas, NV 89102-7702

Mailing address

3111 S Valley View Blvd Ste A217
Las Vegas, NV 89102-7702
Phone (702) 302-3155

National Provider Directory

National Provider Directory

Locations

3111 S Valley View Blvd
Ste A217
Las Vegas, NV 89102
Phone (702) 302-3155

NPI Registry JSON

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

{
    "created_epoch": "1721088000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721088000000",
    "number": "1104664028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 S VALLEY VIEW BLVD STE A217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027702",
            "telephone_number": "702-302-3155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 S VALLEY VIEW BLVD STE A217",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891027702",
            "telephone_number": "702-302-3155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS HOME HEALTH PROVIDERS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-16",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A",
        "authorized_official_last_name": "FUNTILA",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "RACHELLE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "702-302-3155"
    },
    "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 Jul 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.