Organization Active NPI

Familia Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1336850262
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Dec 12, 2022

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
Incorporated
Dec 7, 2022 in NV
Enrollment address
2415 Reynolds Ave
Ste 100F
North Las Vegas, NV 89030-7279
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Familia Home Health Care LLCCCN 297392
Ownership
-
Certified
May 8, 2025
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
29D2316967Familia Home Health Care LLC2415 Reynolds Ave Ste 100-F, North Las Vegas, NV 89030Certificate of waiverJan 14, 2027

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Tania Aldrete Individual 5% Or Greater Direct Ownership InterestPresident/Alt. Admin//Don Dec 7, 2022 50%
Corporate DirectorPresident/Alt Administrator/Don Dec 7, 2022 50%
W-2 Managing EmployeePresident/Alt Administrator/Don Dec 7, 2022 50%
Operational/Managerial ControlPresident/ Dec 7, 2022 50%
Alba Ruth Velasquez Diaz Individual 5% Or Greater Direct Ownership InterestVice President/Administrator Dec 7, 2022 50%
Corporate DirectorVice President/Administrator Dec 7, 2022 50%
W-2 Managing EmployeeVice President/Administrator Dec 7, 2022 50%
Operational/Managerial ControlVice President Dec 7, 2022 50%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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

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

Verify at the official NPI Registry.