Active NPI
Mojave Home Healthcare LLC
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1225871114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- MOJAVE HOME HEALTHCARE LLC
- Practice address
- 801 S Rancho Dr Ste A2-a
Las Vegas, NV 89106-3854 - Phone
- (725) 218-9741
- NPI assigned
- Jun 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Farah Landicho
- Title
- Manager
- Phone
- (725) 218-9741
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
801 S Rancho Dr Ste A2-a
Las Vegas, NV 89106-3854
Mailing address
801 S Rancho Dr Ste A2-a
Las Vegas, NV 89106-3854
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250707003075 | NV | Part A Provider - Home Health Agency | 4688188279 | Practice locations: Las Vegas, NV |
Home health agency certification: CCN 297391
- Legal name
- MOJAVE HOME HEALTHCARE LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Oct 17, 2025
- Last certification
- Oct 17, 2025
- Organization structure
- LLC
- Enrollment address
- 801 S Rancho Dr
Ste A2-a
Las Vegas, NV 89106-3854
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Mojave Home Healthcare LLC
- Ownership
- -
- Certified
- Oct 17, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
801 S Rancho Dr
Ste A2A
Las Vegas, NV 89106
Phone (702) 844-8367
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Farah Landicho | 5% Or Greater Direct Ownership Interest | Jun 17, 2024 | 100% |
| Corporate Officer | Jun 17, 2025 | 100% | |
| Corporate Director | Jun 17, 2025 | 100% | |
| W-2 Managing Employee | Jun 17, 2024 | 100% | |
| Operational/Managerial Control | Jun 17, 2024 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Cardiovascular Disease Physician
- Las Vegas, NV
- NPI 1669461919
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718582400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718582400000",
"number": "1225871114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "801 S RANCHO DR STE A2-A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 S RANCHO DR STE A2-A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891063854",
"telephone_number": "725-218-9741"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOJAVE HOME HEALTHCARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-17",
"last_updated": "2024-06-17",
"certification_date": "2024-06-17",
"status": "A",
"authorized_official_last_name": "LANDICHO",
"authorized_official_first_name": "FARAH",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "725-218-9741"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2024; 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.