Organization Active NPI

Care Oasis of Southern Nevada LLC

Doing business as Care Oasis Hospice

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1386401164
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARE OASIS OF SOUTHERN NEVADA LLC
Doing business as
Care Oasis Hospice
Practice address
6787 W Tropicana Ave Ste 263
Las Vegas, NV 89103-4348
Phone
(702) 861-9199
NPI assigned
Feb 28, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Authorized official

Name
Patrick Ryan Gamboa
Title
Chief Executive Officer
Phone
(702) 861-9199

Specialties & licenses 1

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

Addresses

Primary practice location

6787 W Tropicana Ave Ste 263
Las Vegas, NV 89103-4348

Mailing address

6787 W Tropicana Ave Ste 263
Las Vegas, NV 89103-4348
Phone (702) 861-9199

Other names 1

  • Care Oasis Hospice Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241206002405 NV Part A Provider - Hospice 1557897048 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1386401164. Details of each certification follow.

Hospice certification: CCN 291724

Legal name
CARE OASIS OF SOUTHERN NEVADA LLC
Doing business as
CARE OASIS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 25, 2025
Last certification
Aug 15, 2025
Organization structure
LLCProprietary
Enrollment address
6787 W Tropicana Ave
Ste 263
Las Vegas, NV 89103-4348

Care Compare: Hospice

Medicare Care Compare
Listed as
Care Oasis HospiceCCN 291724 · All quality measures
Certified
Aug 25, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6787 W Tropicana Ave
Ste 263
Las Vegas, NV 89103
Phone (702) 861-9199

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
Janyvill M Ruiz Individual W-2 Managing EmployeeAd; Jun 3, 2024
Patrick Gamboa Individual 5% Or Greater Direct Ownership Interest Feb 28, 2024 100%
Wilbert F Ching Individual Contracted Managing EmployeeMD; Jun 28, 2024

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.

NPI Registry JSON

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

{
    "created_epoch": "1709078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709078400000",
    "number": "1386401164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE STE 263",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034348",
            "telephone_number": "702-861-9199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6787 W TROPICANA AVE STE 263",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034348",
            "telephone_number": "702-861-9199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OASIS OF SOUTHERN NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-28",
        "last_updated": "2024-02-28",
        "certification_date": "2024-02-28",
        "status": "A",
        "authorized_official_last_name": "GAMBOA",
        "authorized_official_first_name": "PATRICK RYAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "702-861-9199"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Care Oasis Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.