Active NPI
Ronald Don Costa
- Community Based Hospice Care Agency
- Las Vegas, NV
National Provider Identifier
1366205775
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- Practice address
- 6655 W Sahara Ave Ste 113-114
Las Vegas, NV 89146-0842 - Phone
- (615) 713-7465
- NPI assigned
- Jan 31, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Primary |
Addresses
Primary practice location
6655 W Sahara Ave Ste 113-114
Las Vegas, NV 89146-0842
Mailing address
192 Macoby Run St
Las Vegas, NV 89148-2628
Phone (615) 713-7465
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goodwill Health Care LLC | Hospice Care, Community Based | Current | Accepting new patients |
Locations
6655 W Sahara Ave
Ste 113114
Las Vegas, NV 89146
Phone (615) 713-7465
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Community Based Hospice Care Agency
- Las Vegas, NV
- NPI 1053176461
Hospice Care, Community Based
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1366205775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "192 MACOBY RUN ST",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891482628",
"telephone_number": "615-713-7465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6655 W SAHARA AVE STE 113-114",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891460842",
"telephone_number": "615-713-7465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSTA",
"first_name": "RONALD DON",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"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 Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.