Active NPI
Preferred Hospice Care Inc
- Community Based Hospice Care Agency
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2022
- 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
- Adis Matevosyan
- Title
- Ceo
- Phone
- (725) 204-9481
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Ownership
- For-Profit
- Certified
- Dec 3, 2021
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Alok Chandra Saxena | W-2 Managing Employee | Mar 18, 2024 | |
| Adis Matevosyan | 5% Or Greater Direct Ownership Interest | Sep 9, 2022 | 100% |
| Corporate Officer | Mar 18, 2024 | 100% | |
| Corporate Director | Mar 18, 2024 | 100% | |
| W-2 Managing Employee | 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.
-
- Physical Therapist
- Sherman Oaks, CA
- NPI 1578328084
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2022; 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.