My Family Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MY FAMILY HOME HEALTH LLC

Practice address

6785 S Eastern Ave Ste 6
Las Vegas, NV 89119-3947

Phone

(702) 499-0443

NPI assigned

Aug 31, 2020

Organization subpart

No

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

Authorized official

Name

Jade Madison, OTR/LNPI 1326326174

Title

Administrator

Phone

(702) 499-0443

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297272

Legal name

MY FAMILY HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Feb 26, 2021

Last certification

Feb 26, 2021

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Apr 19, 2019 in NV

Enrollment address

6785 S Eastern Ave
Ste 6
Las Vegas, NV 89119-3947
HHA Branch

Listed as

My Family Home Health LLCCCN 297272

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Feb 26, 2021

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

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.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jade Madison, OTR/L

  • Pediatric Occupational Therapist
  • Las Vegas, NV
  • NPI 1326326174
  NPD Authorized official

Affiliated clinicians 5

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jayson Lintag Bautista, APRN

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1023776309

  Home health agency

  Care Compare affiliation
• Ifeanyi C Madu, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Henderson, NV
  • NPI 1295295038

  Home health agency

  Care Compare affiliation
• Jang Suk Mun, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1164424578

  Home health agency

  Care Compare affiliation
• Henry Wang, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1497757405

  Home health agency

  Care Compare affiliation
• Kerwin Yap, NP

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1386916831

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1598832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607040000000",
    "number": "1164036968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 VINTAGE RIDGE DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891416063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6785 S EASTERN AVE STE 6",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193947",
            "telephone_number": "702-499-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY FAMILY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-31",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "JADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-499-0443",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• My Choice Healthcare
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• My G Tran DDS Inc
• My G Tran DDS Prof Corp
• My G Tran I DDS PLLC
• My G Tran II DDS PLLC
• My G Tran III DDS PLLC

• All providers in Las Vegas, NV
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.

Verify at the official NPI Registry.