Active NPI
A Caring Heart Healthcare Services LLC
Doing business as A Caring Heart Hospice and Palliative Care
- Community Based Hospice Care Agency
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Legal business name
- A CARING HEART HEALTHCARE SERVICES LLC
- Doing business as
- A Caring Heart Hospice and Palliative Care
- Practice address
- 1500 E Tropicana Ave Ste 112
Las Vegas, NV 89119-6515 - Phone
- (702) 477-0495
- Fax
- (702) 477-0080
- NPI assigned
- Feb 9, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christopher Diaz
- Title
- Director of Patient Care Services
- Phone
- (702) 477-0495
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
1500 E Tropicana Ave Ste 112
Las Vegas, NV 89119-6515
Mailing address
1500 E Tropicana Ave Ste 112
Las Vegas, NV 89119-6515
Phone (702) 470-0771
Other names 1
- A Caring Heart Hospice and Palliative Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220331000479 | NV | Part A Provider - Hospice | 4981090917 | Practice locations: Las Vegas, NV |
Hospice certification: CCN 291630
- Legal name
- A CARING HEART HEALTHCARE SERVICES LLC
- Doing business as
- A CARING HEART HOSPICE AND PALLIATIVE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Jan 27, 2023
- Last certification
- Dec 9, 2022
- Organization structure
- LLC
- Incorporated
- May 18, 2020 in NV
- Enrollment address
- 1500 E Tropicana Ave
Ste 112 RM 1
Las Vegas, NV 89119-6515
Care Compare: Hospice
Medicare Care Compare- Listed as
- A Caring Heart Hospice and Palliative Care
- Certified
- Jan 27, 2023
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2323402 | A Caring Heart Hospice and Palliative Care | Certificate of waiver | May 5, 2027 |
National Provider Directory
National Provider DirectoryOwnership & related parties
All disclosed owners & managing parties 3
As 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 |
|---|---|---|---|
| Janyvill M Ruiz | 5% Or Greater Direct Ownership Interest | May 18, 2020 | 50% |
| Corporate Director | May 18, 2020 | ||
| Sean M Sumalpong | 5% Or Greater Direct Ownership Interest | May 18, 2020 | 50% |
| W-2 Managing Employee | May 18, 2020 | ||
| Roy Marie Amoroso Margallo | Contracted Managing Employee | May 17, 2023 |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1538314950
Contracted Managing Employee
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": "1644364800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1699315200000",
"number": "1114671054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1500 E TROPICANA AVE STE 112",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196515",
"telephone_number": "702-470-0771",
"fax_number": "702-477-0080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1500 E TROPICANA AVE STE 112",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196515",
"telephone_number": "702-477-0495",
"fax_number": "702-477-0080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "A CARING HEART HEALTHCARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-09",
"last_updated": "2023-11-07",
"certification_date": "2023-11-07",
"status": "A",
"authorized_official_last_name": "DIAZ",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "DIRECTOR OF PATIENT CARE SERVICES",
"authorized_official_telephone_number": "702-477-0495"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "A Caring Heart Hospice and Palliative Care",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Nov 7, 2023; 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.