Organization Active NPI

Concierge Hospice Care

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1316415714
Registry record updated Aug 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CONCIERGE HOSPICE CARE
Practice address
6276 Spring Mountain Rd Ste 115
Las Vegas, NV 89146-8869
Phone
(702) 878-8800
Fax
(702) 878-8822
NPI assigned
Nov 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2023

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

Authorized official

Name
Stella UrbinaNPI 1164063038
Title
President
Phone
(702) 527-9452

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

6276 Spring Mountain Rd Ste 115
Las Vegas, NV 89146-8869

Mailing address

6276 Spring Mountain Rd Ste 115
Las Vegas, NV 89146-8869
Phone (702) 878-8800

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190826000001 NV Part A Provider - Hospice 6406180744 Practice locations: Las Vegas, NV

Hospice certification: CCN 291569

Legal name
CONCIERGE HOSPICE CARE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Feb 28, 2020
Last certification
Feb 28, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 2, 2018 in NV
Enrollment address
6276 Spring Mountain Rd
Ste 115
Las Vegas, NV 89146-8869

Care Compare: Hospice

Medicare Care Compare
Listed as
Concierge Hospice CareCCN 291569
Ownership
For-Profit
Certified
Feb 28, 2020
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
29D2166556Concierge Hospice Care6276 Spring Mountain Rd Ste 115, Las Vegas, NV 89146Certificate of waiverMay 19, 2027

National Provider Directory

National Provider Directory

Locations

6276 Spring Mountain Rd
Ste 115
Las Vegas, NV 89146
Phone (702) 878-8800

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Stella Urbina Individual 5% Or Greater Direct Ownership InterestOwner/Administrator Dec 22, 2021 100%
Corporate OfficerOwner/Administrator Jul 2, 2018 100%
W-2 Managing EmployeeAd;Owner/President Jul 2, 2018 100%
Scott Neil Jacobson Individual Contracted Managing EmployeeMD; Aug 21, 2019

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1541376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691020800000",
    "number": "1316415714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6276 SPRING MOUNTAIN RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468869",
            "telephone_number": "702-878-8800",
            "fax_number": "702-878-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6276 SPRING MOUNTAIN RD STE 115",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468869",
            "telephone_number": "702-878-8800",
            "fax_number": "702-878-8822"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCIERGE HOSPICE CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-05",
        "last_updated": "2023-08-03",
        "certification_date": "2023-08-03",
        "status": "A",
        "authorized_official_last_name": "URBINA",
        "authorized_official_first_name": "STELLA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-527-9452"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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.