Jazmine Enterprises LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

JAZMINE ENTERPRISES LLC

Doing business as

Covenant Hospice Care

Practice address

2950 E Flamingo Rd
Suite K
Las Vegas, NV 89121-5209

Phone

(702) 750-0212

Fax

(702) 750-0242

NPI assigned

Oct 15, 2014

Last updated

Oct 1, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jennifer Basilio, RN

Title

Director

Phone

(702) 750-0212

Specialties & licenses 1

Addresses

Other names 1

• Covenant Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235533597. Details of each certification follow.

• CCN 291543 Hospice · Active · Details

Hospice certification: CCN 291543

Legal name

JAZMINE ENTERPRISES LLC

Doing business as

COVENANT HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 8, 2016

Last certification

Jan 20, 2022

Ownership / control type

Proprietary - Partnership

Organization structure

LLCProprietary

Enrollment address

2713 E Russell Rd
Las Vegas, NV 89120-2426

Listed as

Covenant Hospice CareCCN 291543 · All quality measures

Ownership

For-Profit

Certified

Mar 8, 2016

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Jordana Noreen Cheta, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1306191994

  Contracted Managing Employee, Corporate Officer, Operational/Managerial Control

  CMS ownership
• Shawn Allen Rowles, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1730387176

  Contracted Managing Employee, Corporate Director, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Christian Hospice, LLC

  dba Christian Hospice

  • Community Based Hospice Care Agency
  • Las Vegas, NV
  • NPI 1083121453

  Genesis Management Services LLC

  CMS ownership
• Creek View Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
  • NPI 1114524311

  Genesis Management Services LLC

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Shawn Allen Rowles, M.D.

  • Pediatrics Physician
  • Las Vegas, NV
  • NPI 1730387176
  NPD (past)

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Jordana Noreen Cheta, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1306191994

  Hospice

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1413331200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1601510400000",
    "number": "1235533597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD",
            "address_2": "SUITE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215209",
            "telephone_number": "702-750-0212",
            "fax_number": "702-750-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2950 E FLAMINGO RD",
            "address_2": "SUITE K",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215209",
            "telephone_number": "702-750-0212",
            "fax_number": "702-750-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAZMINE ENTERPRISES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-15",
        "last_updated": "2020-10-01",
        "certification_date": "2020-10-01",
        "status": "A",
        "authorized_official_last_name": "BASILIO",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "702-750-0212",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Covenant Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaymes D. Granata, MD PLLC (Battle Born Bone & Joint Center)
• Andrew David Jayne, DO
• Cheryl Jayne, M.D.
• Russell P Jayne, MD
• Jayce Renee Jaynes, DO
• Marsha Jazo
• Jazzy Wellness & Concierge LLC
• JC Medical Supplies Inc (JC Medical Supplies)
• JCN Medical LLC
• JCR Home Care, Inc.

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2020; 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.

Verify at the official NPI Registry.