Active NPI
Prime Healthcare of Nevada LLC
- Home Health Agency
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- PRIME HEALTHCARE OF NEVADA LLC
- Practice address
- 6787 W Tropicana Ave Ste 257
Las Vegas, NV 89103-4912 - Phone
- (725) 253-5383
- Fax
- (725) 266-7369
- NPI assigned
- Dec 17, 2024
- 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
- Nadya Stoyanova, RN
- Title
- Director of Clinical Services
- Phone
- (725) 253-5383
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 |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
6787 W Tropicana Ave Ste 257
Las Vegas, NV 89103-4912
Mailing address
6787 W Tropicana Ave Ste 257
Las Vegas, NV 89103-4912
Phone (725) 253-5383
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250522000952 | NV | Part A Provider - Home Health Agency | 3072032044 | Practice locations: Las Vegas, NV |
Home health agency certification: CCN 297395
- Legal name
- PRIME HEALTHCARE OF NEVADA LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 17, 2025
- Last certification
- Sep 16, 2025
- Organization structure
- LLC
- Enrollment address
- 6787 W Tropicana Ave
Ste 257
Las Vegas, NV 89103-4912
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Prime Healthcare of Nevada
- Ownership
- -
- Certified
- Nov 17, 2025
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
6787 W Tropicana Ave
Ste 257
Las Vegas, NV 89103
Phone (725) 253-5383
Ownership & related parties
All disclosed owners & managing parties 3
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 |
|---|---|---|---|
| Georgi Georgiev | 5% Or Greater Direct Ownership Interest | Jun 8, 2023 | 100% |
| Nadya Stoyanova | W-2 Managing Employee | Apr 5, 2023 | 100% |
| Mallory Diaz | W-2 Managing Employee | Feb 25, 2025 | 100% |
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.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1275481855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1734393600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1741132800000",
"number": "1346057882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6787 W TROPICANA AVE STE 257",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034912",
"telephone_number": "725-253-5383",
"fax_number": "725-266-7369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6787 W TROPICANA AVE STE 257",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891034912",
"telephone_number": "725-253-5383",
"fax_number": "725-266-7369"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PRIME HEALTHCARE OF NEVADA LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-12-17",
"last_updated": "2025-03-05",
"certification_date": "2025-03-05",
"status": "A",
"authorized_official_last_name": "STOYANOVA",
"authorized_official_first_name": "NADYA",
"authorized_official_title_or_position": "DIRECTOR OF CLINICAL SERVICES",
"authorized_official_telephone_number": "725-253-5383",
"authorized_official_credential": "RN"
},
"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 Mar 5, 2025; 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.