Organization Active NPI

Amore Hospice Care

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1336860618
Registry record updated May 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
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

Updated by the provider on May 31, 2023

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)CodeLicenseStatePrimary
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 Doing business as
  • Amore Hospice Care, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20221010000172 NV Part A Provider - Hospice 9335525724 Practice locations: Las Vegas, NV
O20240521002594 NV Part B Supplier - Clinic/Group Practice 9335525724 Receives reassigned benefits from 1 practitioner
Practice locations: Las Vegas, NV

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
LLCProprietary
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 CareCCN 291637
Certified
Mar 11, 2023
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
29D2271935Amore Hospice Care, LLC3821 West Charleston Blvd Suite 110, Las Vegas, NV 89102Certificate of waiverNov 9, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Scent of a Rose LLC Organization, Las Vegas, NV LLC 5% Or Greater Direct Ownership Interest Oct 1, 2021 60%
Babak Mahgerefteh Individual 5% Or Greater Indirect Ownership InterestCeo Aug 17, 2021 40%
W-2 Managing EmployeeCeo Oct 1, 2021 50%
Kimberly a Anderson Individual 5% Or Greater Indirect Ownership InterestAdministrator / Coo Aug 17, 2021 60%
Corporate OfficerAdministrator / Coo Oct 1, 2021 50%
Baruch H LLC Organization, Henderson, NV 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.

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

Verify at the official NPI Registry.