Organization Active NPI

First Class Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1225783236
Registry record updated Feb 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
FIRST CLASS HOME HEALTH LLC
Practice address
1830 E Sahara Ave Ste 207
Las Vegas, NV 89104-3739
Phone
(702) 331-1404
Fax
(702) 331-1681
NPI assigned
Feb 17, 2022
Last updated
Feb 17, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2022

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

Authorized official

Name
Sean Min Xu
Title
Manager
Phone
(702) 331-1404

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1830 E Sahara Ave Ste 207
Las Vegas, NV 89104-3739

Mailing address

1830 E Sahara Ave Ste 207
Las Vegas, NV 89104-3739
Phone (702) 331-1404

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220923000164 NV Part A Provider - Home Health Agency 5496133001 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225783236. Details of each certification follow.

Home health agency certification: CCN 297330

Legal name
FIRST CLASS HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 22, 2022
Last certification
Dec 9, 2022
Organization structure
LLCProprietary
Incorporated
Nov 3, 2017 in NV
Enrollment address
1830 E Sahara Ave
Ste 207
Las Vegas, NV 89104-3739

Care Compare: Home health agency

Medicare Care Compare
Listed as
First Class Home Health LLCCCN 297330 · All quality measures
Overall star rating
1.5 of 5
Ownership
-
Certified
Dec 22, 2022
Medicare certification status
ActiveFrom the Provider of Services file

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
29D2326121First Class Home Health, LLC1830 E Sahara Ave Ste 207, Las Vegas, NV 89104Certificate of waiverJun 25, 2027

National Provider Directory

National Provider Directory

Locations

1830 E Sahara Ave
Ste 207
Las Vegas, NV 89104
Phone (702) 331-1404

Ownership & related parties

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.

NameRoleSinceShare
Sean Min Xu Individual 5% Or Greater Direct Ownership InterestCeo Oct 10, 2020 100%
Corporate OfficerCeo Oct 10, 2020 100%
Corporate DirectorCeo Oct 10, 2020 100%
W-2 Managing EmployeeCeo Oct 10, 2020 100%
Operational/Managerial ControlCeo Oct 10, 2020 100%

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1645056000000",
    "number": "1225783236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 E SAHARA AVE STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043739",
            "telephone_number": "702-331-1404",
            "fax_number": "702-331-1681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 E SAHARA AVE STE 207",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043739",
            "telephone_number": "702-331-1404",
            "fax_number": "702-331-1681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRST CLASS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-02-17",
        "certification_date": "2022-02-17",
        "status": "A",
        "authorized_official_last_name": "XU",
        "authorized_official_first_name": "SEAN MIN",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "702-331-1404"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.