NPIMap

Organization Active NPI

Agape Hospice of Nevada Inc

  • Community Based Hospice Care Agency
  • Henderson, NV
National Provider Identifier
1356035158
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
AGAPE HOSPICE OF NEVADA INC
Practice address
8925 S Pecos Road Ste 16a Office 10B
Henderson, NV 89074
Phone
(213) 448-8413
NPI assigned
Jun 5, 2023
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Aldrin Pagala
Title
Owner
Phone
(213) 448-8413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8925 S Pecos Road Ste 16a Office 10B
Henderson, NV 89074

Mailing address

8925 S Pecos Road Ste 16a Office 10B
Henderson, NV 89074
Phone (213) 448-8413

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20231002002252 NV Part A Provider - Hospice 4688028111 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356035158. Details of each certification follow.

Hospice certification: CCN 291726

Legal name
AGAPE HOSPICE OF NEVADA INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Oct 29, 2025
Last certification
Oct 8, 2025
Organization structure
CorporationProprietary
Incorporated
Jun 5, 2023 in NV
Enrollment address
4055 Spencer St
Ste 112
Las Vegas, NV 89119-5251

Care Compare: Hospice

Medicare Care Compare
Listed as
Agape Hospice of Nevada IncCCN 291726 · All quality measures
Certified
Oct 29, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Christopher Mendoza Individual 5% Or Greater Direct Ownership InterestSecretary/Owner Jun 5, 2023 50%
Corporate OfficerSecretary/Owner Jun 5, 2023 50%
Corporate DirectorSecretary/Owner Jun 5, 2023 50%
W-2 Managing EmployeeSecretary/Owner Jun 5, 2023 50%
Aldrin a Pagala Individual 5% Or Greater Direct Ownership InterestCeo/Owner Jun 5, 2023 50%
Corporate OfficerCeo/Owner Jun 5, 2023 50%
Corporate DirectorCeo/Owner Jun 5, 2023 50%
W-2 Managing EmployeeAd;Ad;Ceo/Owner Jun 5, 2023 50%
Ashley Villamor Kelley Individual Contracted Managing EmployeeMD; Apr 1, 2026 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1356035158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8925 S PECOS ROAD STE 16A OFFICE 10B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "213-448-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8925 S PECOS ROAD STE 16A OFFICE 10B",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89074",
            "telephone_number": "213-448-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AGAPE HOSPICE OF NEVADA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "PAGALA",
        "authorized_official_first_name": "ALDRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "213-448-8413"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.