Organization Active NPI

Alpine Home Health, Inc

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1124568464
Registry record updated Apr 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8558-HHA-0 Issued in NV
Legal business name
ALPINE HOME HEALTH, INC
Practice address
3601 W. Sahara Ave.
Ste 111
Las Vegas, NV 89102
Phone
(702) 586-0785
Fax
(702) 586-0190
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2026

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

Authorized official

Name
Mrs. Marie Jill B Alfonso, NP
Title
Treasurer
Phone
(702) 586-0785

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8558-HHA-0 NV Primary

Addresses

Primary practice location

3601 W. Sahara Ave.
Ste 111
Las Vegas, NV 89102

Mailing address

3601 W. Sahara Ave.
Suite 111
Las Vegas, NV 89102
Phone (702) 586-0785

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170502002815 NV Part A Provider - Home Health Agency 0941587877 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297246

Legal name
ALPINE HOME HEALTH, INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 21, 2018
Last certification
Aug 11, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Jul 24, 2015 in NV
Enrollment address
3017 W Charleston Blvd
Ste 51-a
Las Vegas, NV 89102-1941

Care Compare: Home health agency

Medicare Care Compare
Listed as
Alpine Home Health, IncCCN 297246
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Oct 21, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

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
29D2231633Alpine Home Health, Inc3017 W Charleston Blvd Ste 51, Las Vegas, NV 89102Certificate of waiverAug 3, 2027

National Provider Directory

National Provider Directory

Locations

2770 S Maryland Pkwy
Ste 216
Las Vegas, NV 89109
Phone (702) 586-0785

2770 S Maryland Pkwy
Ste 406
Las Vegas, NV 89109
Phone (702) 586-0785

3017 W Charleston Blvd
Ste 51A
Las Vegas, NV 89102
Phone (702) 586-0785

3601 W Sahara Ave
Ste 111
Las Vegas, NV 89102
Phone (725) 255-7865

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
Albert I Kamatoy Individual 5% Or Greater Direct Ownership Interest Jul 22, 2016 100%
Corporate OfficerCeo Administrator Jul 22, 2016 100%
Corporate DirectorCeo Administrator Jul 22, 2016 100%
W-2 Managing EmployeeCeo Administrator Jul 22, 2016 10%
Operational/Managerial ControlCeo Administrator Jul 22, 2016 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1124568464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 W. SAHARA AVE.",
            "address_2": "SUITE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-586-0785",
            "fax_number": "702-586-0190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 W. SAHARA AVE.",
            "address_2": "STE 111",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89102",
            "telephone_number": "702-586-0785",
            "fax_number": "702-586-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE HOME HEALTH, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "MARIE JILL",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-586-0785",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8558-HHA-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.