Active NPI
Familia Home Health Care LLC
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1336850262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAMILIA HOME HEALTH CARE LLC
- Practice address
- 4680 S Eastern Ave Ste H
Las Vegas, NV 89119-6192 - Phone
- (702) 379-8506
- NPI assigned
- Dec 12, 2022
- 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
- Alba Ruth Velazquez Diaz
- Title
- Owner/Vice President
- Phone
- (702) 883-7295
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4680 S Eastern Ave Ste H
Las Vegas, NV 89119-6192
Mailing address
104 Spur Ranch Ave
North Las Vegas, NV 89032-8108
Phone (702) 379-8506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240311003524 | NV | Part A Provider - Home Health Agency | 1759727894 | Practice locations: North Las Vegas, NV |
Home health agency certification: CCN 297392
- Legal name
- FAMILIA HOME HEALTH CARE LLC
- Doing business as
- FAMILIA HOME HEALTH
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- May 8, 2025
- Last certification
- May 8, 2025
- Organization structure
- LLC
- Incorporated
- Dec 7, 2022 in NV
- Enrollment address
- 2415 Reynolds Ave
Ste 100F
North Las Vegas, NV 89030-7279
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Familia Home Health Care LLC
- Ownership
- -
- Certified
- May 8, 2025
- 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 |
|---|---|---|---|
| 29D2316967 | Familia Home Health Care LLC | Certificate of waiver | Jan 14, 2027 |
National Provider Directory
National Provider DirectoryLocations
4680 S Eastern Ave
Ste H
Las Vegas, NV 89119
Phone (702) 476-9283
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 |
|---|---|---|---|
| Tania Aldrete | 5% Or Greater Direct Ownership Interest | Dec 7, 2022 | 50% |
| Corporate Director | Dec 7, 2022 | 50% | |
| W-2 Managing Employee | Dec 7, 2022 | 50% | |
| Operational/Managerial Control | Dec 7, 2022 | 50% | |
| Alba Ruth Velasquez Diaz | 5% Or Greater Direct Ownership Interest | Dec 7, 2022 | 50% |
| Corporate Director | Dec 7, 2022 | 50% | |
| W-2 Managing Employee | Dec 7, 2022 | 50% | |
| Operational/Managerial Control | Dec 7, 2022 | 50% |
Practitioners & affiliated clinicians
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1205215027
Home health agency
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1670803200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1670803200000",
"number": "1336850262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 SPUR RANCH AVE",
"city": "NORTH LAS VEGAS",
"state": "NV",
"postal_code": "890328108",
"telephone_number": "702-379-8506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4680 S EASTERN AVE STE H",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891196192",
"telephone_number": "702-379-8506"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILIA HOME HEALTH CARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-12-12",
"last_updated": "2022-12-12",
"certification_date": "2022-12-12",
"status": "A",
"authorized_official_last_name": "VELAZQUEZ DIAZ",
"authorized_official_first_name": "ALBA",
"authorized_official_middle_name": "RUTH",
"authorized_official_title_or_position": "OWNER/VICE PRESIDENT",
"authorized_official_telephone_number": "702-883-7295"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.