Organization Active NPI

Nevada Preferred Home Health Care, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1164817342
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NEVADA PREFERRED HOME HEALTH CARE, LLC
Practice address
5600 Spring Mountain Rd Ste 203
Las Vegas, NV 89146
Phone
(702) 896-1117
Fax
(702) 988-8792
NPI assigned
Apr 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2024

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

Authorized official

Name
Antonio A Buna Jr., RN
Title
Administrator
Phone
(702) 896-1117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV Primary

Addresses

Primary practice location

5600 Spring Mountain Rd Ste 203
Las Vegas, NV 89146

Mailing address

5600 Spring Mountain Rd Ste 203
Las Vegas, NV 89146-8823
Phone (702) 896-1117

Other identifiers 1

IdentifierTypeStateIssuer
NV20151025022OtherNVNSOS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160318000214 NV Part A Provider - Home Health Agency 2264739283 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297221

Legal name
NEVADA PREFERRED HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 11, 2016
Last certification
Oct 24, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jan 14, 2015 in NV
Enrollment address
5600 Spring Mountain Rd
Ste 203
Las Vegas, NV 89146-8823

Care Compare: Home health agency

Medicare Care Compare
Listed as
Nevada Preferred Home Health Care LLCCCN 297221
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Sep 11, 2016
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
29D2125369Nevada Preferred Home Health Care LLC5600 Spring Mountain Rd BLDG B Ste 203, Las Vegas, NV 89146Certificate of waiverFeb 5, 2027

National Provider Directory

National Provider Directory

Locations

5600 Spring Mountain Rd
Ste 203
Las Vegas, NV 89146
Phone (702) 509-5042

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Antonio Almodovar Buna Individual 5% Or Greater Direct Ownership Interest Jan 14, 2015 100%
Corporate OfficerCeo/Administrator Jan 14, 2015 100%
W-2 Managing EmployeeCeo/Administrator Jan 14, 2015 100%
Operational/Managerial ControlCeo/Administrator Jan 14, 2015 100%
Jenifer F Buna Individual W-2 Managing EmployeeAlternate Administrator Feb 14, 2015
Operational/Managerial ControlAlternate Administrator Feb 14, 2015

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1428019200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718582400000",
    "number": "1164817342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823",
            "telephone_number": "702-896-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89146",
            "telephone_number": "702-896-1117",
            "fax_number": "702-988-8792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PREFERRED HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-03",
        "last_updated": "2024-06-17",
        "certification_date": "2024-06-17",
        "status": "A",
        "authorized_official_last_name": "BUNA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-896-1117",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NSOS",
            "identifier": "NV20151025022",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.