Organization Active NPI

Icare Health Services LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1124735378
Registry record updated Oct 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
ICARE HEALTH SERVICES LLC
Practice address
2320 Paseo del Prado Ste B205-C
Las Vegas, NV 89102-4358
Phone
(714) 721-1510
NPI assigned
Oct 27, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2022

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

Authorized official

Name
Leonida Coronel
Title
Manager
Phone
(714) 721-1510

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

2320 Paseo del Prado Ste B205-C
Las Vegas, NV 89102-4358

Mailing address

2320 Paseo del Prado Ste B205-C
Las Vegas, NV 89102-4358
Phone (714) 721-1510

Care Compare: Hospice

Medicare Care Compare
Listed as
Icare Health Services LLCCCN 291685
Certified
Sep 25, 2024
Medicare certification status
ActiveFrom the Provider of Services file

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

2320 Paseo del Prado
Ste B205C
Las Vegas, NV 89102
Phone (714) 721-1510

NPI Registry JSON

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

{
    "created_epoch": "1666828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666828800000",
    "number": "1124735378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B205-C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024358",
            "telephone_number": "714-721-1510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO STE B205-C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024358",
            "telephone_number": "714-721-1510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICARE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-27",
        "last_updated": "2022-10-27",
        "certification_date": "2022-10-27",
        "status": "A",
        "authorized_official_last_name": "CORONEL",
        "authorized_official_first_name": "LEONIDA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "714-721-1510"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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 Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.