Elite Care Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

7389HHA-0 Issued in NV

Legal business name

ELITE CARE HOME HEALTH LLC

Practice address

5024 Alta Dr
Las Vegas, NV 89107-3927

Phone

(702) 979-9060

Fax

(702) 979-9820

NPI assigned

Jun 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Roseminda De Chavez Montero, RN

Title

Administrator/Director of Nursing

Phone

(702) 979-9060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297207

Legal name

ELITE CARE HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jan 11, 2013

Last certification

Dec 21, 2018

Ownership / control type

Proprietary

Organization structure

LLCProprietary

Incorporated

Jan 19, 2012 in NV

Enrollment address

5024 Alta Dr
Las Vegas, NV 89107-3927

Listed as

Elite Care Home Health, LLCCCN 297207 · All quality measures

Overall star rating

1.5 of 5

Ownership

Proprietary

Certified

Jan 11, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Locations

All disclosed owners & managing parties 3

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

Affiliated clinicians 3

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

• Gautam Daulat, D.O.

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1295709418

  Home health agency

  Care Compare affiliation
• Edward Hoffman, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1528184785

  Home health agency

  Care Compare affiliation
• Homer Cabrera Tuazon, APRN, FNPC

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1861817934

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1693699200000",
    "number": "1255694535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073927",
            "telephone_number": "702-979-9060",
            "fax_number": "702-979-9820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 ALTA DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073927",
            "telephone_number": "702-979-9060",
            "fax_number": "702-979-9820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2023-09-03",
        "certification_date": "2023-09-03",
        "status": "A",
        "authorized_official_last_name": "MONTERO",
        "authorized_official_first_name": "ROSEMINDA",
        "authorized_official_middle_name": "DE CHAVEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR/DIRECTOR OF NURSING",
        "authorized_official_telephone_number": "702-979-9060",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "7389HHA-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Elite Care Providers LLC
• Elite Counseling Center LLC
• Elite Dental, Inc. (Elite Dental)

• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2023; 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.