Organization Active NPI

Mojave Home Healthcare LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1225871114
Registry record updated Jun 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

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
Farah Landicho
Title
Manager
Phone
(725) 218-9741

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Enrollment address
801 S Rancho Dr
Ste A2-a
Las Vegas, NV 89106-3854
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mojave Home Healthcare LLCCCN 297391 · All quality measures
Ownership
-
Certified
Oct 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Farah Landicho Individual 5% Or Greater Direct Ownership InterestManaging Member Jun 17, 2024 100%
Corporate Officer Jun 17, 2025 100%
Corporate Director Jun 17, 2025 100%
W-2 Managing EmployeeAd; 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.

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

Verify at the official NPI Registry.