Organization Active NPI

Preferred Hospice Care Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1356930085
Registry record updated Apr 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PREFERRED HOSPICE CARE INC
Practice address
8170 W Sahara Ave Ste 105
Las Vegas, NV 89117-1981
Phone
(725) 204-9481
NPI assigned
Jan 17, 2021
Last updated
Apr 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2022

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

Authorized official

Name
Adis Matevosyan
Title
Ceo
Phone
(725) 204-9481

Specialties & licenses 1

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

Addresses

Primary practice location

8170 W Sahara Ave Ste 105
Las Vegas, NV 89117-1981

Mailing address

8170 W Sahara Ave Ste 105
Las Vegas, NV 89117-1981
Phone (725) 204-9481

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210202001066 NV Part A Provider - Hospice 2668886789 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1356930085. Details of each certification follow.

Hospice certification: CCN 291592

Legal name
PREFERRED HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Dec 3, 2021
Last certification
Dec 3, 2021
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Dec 16, 2020 in NV
Enrollment address
8170 W Sahara Ave
Ste 105
Las Vegas, NV 89117-1981

Care Compare: Hospice

Medicare Care Compare
Listed as
Preferred Hospice Care IncCCN 291592 · All quality measures
Ownership
For-Profit
Certified
Dec 3, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

8170 W Sahara Ave
Ste 105
Las Vegas, NV 89117
Phone (725) 204-9481

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Alok Chandra Saxena Individual W-2 Managing EmployeeMD; Mar 18, 2024
Adis Matevosyan Individual 5% Or Greater Direct Ownership InterestCeo Sep 9, 2022 100%
Corporate OfficerCeo Mar 18, 2024 100%
Corporate DirectorCeo Mar 18, 2024 100%
W-2 Managing EmployeeAd;Ceo Mar 18, 2024 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, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 3

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": "1610841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1649116800000",
    "number": "1356930085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 W SAHARA AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171981",
            "telephone_number": "725-204-9481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8170 W SAHARA AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891171981",
            "telephone_number": "725-204-9481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-17",
        "last_updated": "2022-04-05",
        "certification_date": "2022-04-05",
        "status": "A",
        "authorized_official_last_name": "MATEVOSYAN",
        "authorized_official_first_name": "ADIS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "725-204-9481"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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.