Organization 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
National Provider Identifier
1114671054
Registry record updated Nov 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on Nov 7, 2023

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)CodeLicenseStatePrimary
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 Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
LLCProprietary
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 CareCCN 291630 · All quality measures
Certified
Jan 27, 2023
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
29D2323402A Caring Heart Hospice and Palliative Care1500 E Tropicana Ave Ste 112, Las Vegas, NV 89119Certificate of waiverMay 5, 2027

National Provider Directory

National Provider Directory

Ownership & 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.

NameRoleSinceShare
Janyvill M Ruiz Individual 5% Or Greater Direct Ownership InterestAdministrator May 18, 2020 50%
Corporate Director May 18, 2020
Sean M Sumalpong Individual 5% Or Greater Direct Ownership Interest May 18, 2020 50%
W-2 Managing Employee May 18, 2020
Roy Marie Amoroso Margallo Individual Contracted Managing EmployeeMD; 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.

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

Verify at the official NPI Registry.