Ahc Home Health of Las Vegas LLC
Organization Active NPI Home Health Agency · Henderson, NV
NPI 1154620136 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1154620136
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- AHC HOME HEALTH OF LAS VEGAS LLC
- Practice address
- 10561 Jeffreys St Ste 105
Henderson, NV 89052-4268 - Phone
- (702) 967-6160
- Fax
- (702) 967-6169
- NPI assigned
- Mar 16, 2011
- Organization subpart
- Yes
- Parent organization (as reported)
- LHM MAN HHH LLC
Authorized official
- Name
- Forest Arnett
- Title
- President
- Phone
- (385) 622-4500
Owners & managing parties with NPI records 1
-
Daniel Itano, D.O.
Facilities with the same owner 40
Practitioners 1
-
Taylor Barragan, DPT
Affiliated clinicians 18
-
Joan Achondo, MSN, AGACNP-BC
-
Sonu Bhatia, M.D.
-
Leo Joseph Capobianco, D.O.
-
Karren Joy Corregidor, APRN
-
Kristine Crouch, FNP
-
Nouhad Damaj, MD
-
Tracy Frye, REGISTERED NURSE
-
Loring Jacobs, M.D.
-
Johana Melisa Landahl, DNP, FNP-BC, APRN
-
Roy Marie A Margallo, M.D.
-
Sujay L Patel, MD
-
Justin Striblen, MD
-
Kochy Y Tang, DO
-
Peter A Tran IV, DO
-
Eric Wikler, D.O.
-
Daniel Itano, D.O.
Medicare Care Compare: Home health agency
- Listed as
- Advanced Home Care
- Overall star rating
- ★★★★☆ 3.5 of 5
- Ownership
- Proprietary
- Certified
- Oct 18, 2012
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare Care Compare: Hospice
- Listed as
- Ahc Hospice of Las Vegas
- Ownership
- For-Profit
- Certified
- Mar 20, 2019
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV
Home health agency certification: CCN 297198
- Legal name
- AHC HOME HEALTH OF LAS VEGAS LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 18, 2012
- Last certification
- Aug 31, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC · Proprietary
- Enrollment address
- 10561 Jeffreys St
Ste 105
Henderson, NV 89052-4268
Hospice certification: CCN 291563
- Legal name
- AHC HOME HEALTH OF LAS VEGAS LLC
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 20, 2019
- Last certification
- Mar 17, 2022
- Ownership / control type
- Proprietary - Corporation
- Organization structure
- LLC · Proprietary
- Enrollment address
- 10561 Jeffreys St
Ste 105
Henderson, NV 89052-4268
All disclosed owners & managing parties 13
| Name | Role | Since | Share |
|---|---|---|---|
| Karen Gail Miller Irrev TR Fbo Zane Miller |
5% Or Greater Indirect Ownership Interest | Jul 1, 2023 | 5% |
| Jonah Babbel |
W-2 Managing Employee |
Mar 5, 2025 | |
| W-2 Managing Employee |
Aug 1, 2024 | ||
| Steven Starks |
Corporate Officer |
Jan 1, 2021 | |
| Advanced Health Care - Larry H Miller Corporation |
5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 100% |
| Forest Arnett |
Corporate Officer |
Jan 1, 2024 | |
| The Bryan Miller Utah Dynasty Trust Dated April 22, 2014 |
5% Or Greater Indirect Ownership Interest | Jan 2, 2021 | 5% |
| The G&H Miller Utah Trust Dated February 26, 2019 |
5% Or Greater Indirect Ownership Interest | Jan 2, 2021 | 5% |
| Daniel Itano |
Contracted Managing Employee |
Mar 5, 2025 | |
| The Gail Miller GST Trust |
5% Or Greater Indirect Ownership Interest | Jan 1, 2021 | 70% |
| The Karen Gail Miller Irrevocable Trust for the Benefit of Karen R. Wi |
5% Or Greater Indirect Ownership Interest | Jan 2, 2021 | 5% |
| LHM Man HHH LLC |
5% Or Greater Direct Ownership Interest | Jul 1, 2024 | 100% |
| The Miller Utah Trust, Dated August 22, 2019 |
5% Or Greater Indirect Ownership Interest | Jan 2, 2021 | 5% |
| The RNC Opportunity Trust |
5% Or Greater Indirect Ownership Interest | Jan 2, 2021 | 5% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20110705000203 | NV | Part a Provider - Home Health Agency | 5193903664 | Practice locations: Henderson, NV |
| O20170306002715 | NV | Part a Provider - Hospice | 5193903664 | Practice locations: Henderson, NV |
National Provider Directory
Locations
10561 Jeffreys St
Ste 105
Henderson, NV 89052
Phone (702) 967-6160
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Yes | ||
| Community Based Hospice Care Agency | 251G00000X |
Addresses
Primary practice location
10561 Jeffreys St Ste 105
Henderson, NV 89052-4268
Mailing address
10561 Jeffreys St Ste 105
Henderson, NV 89052-4268
Phone (702) 967-6160
Other names
- AHC Home Health & Hospice of Las Vegas
Other providers in Henderson, NV
- Precious Rene Lee Aguilera
- Veronica Aguirre
- Terence Lou D. Agustin
- Tricia Agustin
- Oshea N L Ah Lee Sam
- Ahc of Henderson LLC
- Caitlyn Ahlin
- Dianna Ahlson-Krueger
- Mustafa I Ahmed
- Chang-Hoon Ahn
All providers in Henderson, NV · Home Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.