Active NPI
Concierge Hospice Care
- Community Based Hospice Care Agency
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stella Urbina
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Care
- Ownership
- For-Profit
- Certified
- Feb 28, 2020
- Medicare certification status
- Active
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D2166556 | Concierge Hospice Care | Certificate of waiver | May 19, 2027 |
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Stella Urbina | 5% Or Greater Direct Ownership Interest | Dec 22, 2021 | 100% |
| Corporate Officer | Jul 2, 2018 | 100% | |
| W-2 Managing Employee | Jul 2, 2018 | 100% | |
| Scott Neil Jacobson | Contracted Managing Employee | 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.
-
- Personal Care Attendant
- Las Vegas, NV
- NPI 1164063038
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.