Active NPI
Amore 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
- AMORE HOSPICE CARE
- Practice address
- 3821 W Charleston Blvd Ste 110
Las Vegas, NV 89102-1863 - Phone
- (702) 858-3574
- NPI assigned
- Sep 6, 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
- Kimberly Anderson-Mackey
- Title
- Administrator/ Coo
- Phone
- (702) 858-3574
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
3821 W Charleston Blvd Ste 110
Las Vegas, NV 89102-1863
Mailing address
3821 W Charleston Blvd Ste 110
Las Vegas, NV 89102-1863
Phone (702) 858-3574
Other names 2
- Amore Hospice Care
- Amore Hospice Care, LLC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 2
Hospice certification: CCN 291637
- Legal name
- AMORE HOSPICE CARE
- Doing business as
- AMORE HOSPICE CARE
- Certification status
- Active
- Provider type (POS)
- Hospice
- Participating since
- Mar 11, 2023
- Last certification
- Feb 23, 2023
- Organization structure
- LLC
- Incorporated
- Oct 1, 2021 in NV
- Enrollment address
- 3821 W Charleston Blvd
Ste 110
Las Vegas, NV 89102-1863
Care Compare: Hospice
Medicare Care Compare- Listed as
- Amore Hospice Care
- Certified
- Mar 11, 2023
- 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 |
|---|---|---|---|
| 29D2271935 | Amore Hospice Care, LLC | Certificate of waiver | Nov 9, 2026 |
National Provider Directory
National Provider DirectoryLocations
3821 W Charleston Blvd
Ste 110
Las Vegas, NV 89102
Phone (702) 330-0440
3821 W Charleston Blvd
Ste 110A
Las Vegas, NV 89102
Ownership & related parties
All disclosed owners & managing parties 4
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 |
|---|---|---|---|
| Scent of a Rose LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2021 | 60% |
| Babak Mahgerefteh | 5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 40% |
| W-2 Managing Employee | Oct 1, 2021 | 50% | |
| Kimberly a Anderson | 5% Or Greater Indirect Ownership Interest | Aug 17, 2021 | 60% |
| Corporate Officer | Oct 1, 2021 | 50% | |
| Baruch H LLC | 5% Or Greater Direct Ownership Interest | Oct 1, 2021 | 40% |
Owners & managing parties with NPI records 1
Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.
-
- Internal Medicine Physician
- Henderson, NV
- NPI 1124349063
5% Or Greater Indirect Ownership Interest, W-2 Managing Employee
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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": "1662422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1685491200000",
"number": "1336860618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3821 W CHARLESTON BLVD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021863",
"telephone_number": "702-858-3574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3821 W CHARLESTON BLVD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891021863",
"telephone_number": "702-858-3574"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "AMORE HOSPICE CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-09-06",
"last_updated": "2023-05-31",
"certification_date": "2023-05-31",
"status": "A",
"authorized_official_last_name": "ANDERSON-MACKEY",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "ADMINISTRATOR/ COO",
"authorized_official_telephone_number": "702-858-3574"
},
"taxonomies": [
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Amore Hospice Care",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amore Hospice Care, LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Amore Hospice Care, LLC",
"code": "3",
"type": "Doing Business As"
}
]
}
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 May 31, 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.