Organization Active NPI

Prime Healthcare of Nevada LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1346057882
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Mar 5, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nadya Stoyanova, RNNPI 1275481855
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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 NevadaCCN 297395
Ownership
-
Certified
Nov 17, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Georgi Georgiev Individual 5% Or Greater Direct Ownership Interest Jun 8, 2023 100%
Nadya Stoyanova Individual W-2 Managing EmployeeDirector of Clinical Services Apr 5, 2023 100%
Mallory Diaz Individual W-2 Managing EmployeeAd; 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.

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

Verify at the official NPI Registry.