NPIMap

Organization Active NPI

JTR Healthcare Solutions LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1194152967
Registry record updated Jan 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NV20131251195 Issued in NV
Legal business name
JTR HEALTHCARE SOLUTIONS LLC
Practice address
2320 Paseo del Prado
Suite B307
Las Vegas, NV 89102-4358
Phone
(702) 628-8423
Fax
(702) 834-4848
NPI assigned
Oct 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2015

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

Authorized official

Name
Romeo A Sedano Jr., B.S. MANAGEMENT
Title
Ceo
Phone
(702) 628-8423

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV20131251195 NV Primary

Addresses

Primary practice location

2320 Paseo del Prado
Suite B307
Las Vegas, NV 89102-4358

Mailing address

2320 Paseo del Prado
Suite B307
Las Vegas, NV 89102-4358
Phone (702) 628-8423

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150814012643 NV Part A Provider - Home Health Agency 2466767892 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297220

Legal name
JTR HEALTHCARE SOLUTIONS LLC
Doing business as
JTR HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 27, 2016
Last certification
Jul 12, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Apr 24, 2013 in NV
Enrollment address
2688 S Rainbow Blvd
Ste B
Las Vegas, NV 89146-5196

Care Compare: Home health agency

Medicare Care Compare
Listed as
JTR Home Health ServicesCCN 297220
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Sep 27, 2016
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
JTR Healthcare Solutions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2688 S Rainbow Blvd
Ste B
Las Vegas, NV 89146
Phone (702) 628-8423

2320 Paseo del Prado
Ste B307
Las Vegas, NV 89102
Phone (702) 628-8423

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
Romeo Pablo a Sedano Individual 5% Or Greater Direct Ownership Interest Apr 24, 2013 100%
Corporate OfficerCeo/Board Member Apr 24, 2013 100%
Mary Alyn a Domondon Individual W-2 Managing EmployeeDirector of Nursing Nov 1, 2020

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": "1381363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1421193600000",
    "number": "1194152967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO",
            "address_2": "SUITE B307",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024358",
            "telephone_number": "702-628-8423",
            "fax_number": "702-834-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO",
            "address_2": "SUITE B307",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024358",
            "telephone_number": "702-628-8423",
            "fax_number": "702-834-4848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JTR HEALTHCARE SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-10",
        "last_updated": "2015-01-14",
        "status": "A",
        "authorized_official_last_name": "SEDANO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-628-8423",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "B.S. MANAGEMENT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20131251195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.