Organization Active NPI

Bravo Healthcare LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1386531663
Registry record updated Jun 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
BRAVO HEALTHCARE LLC
Practice address
6224 Narrow Isthmus Ave
Las Vegas, NV 89139-6410
Phone
(702) 883-7336
Fax
(702) 333-2197
NPI assigned
Jun 19, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2025

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

Authorized official

Name
Ireneo Lazo Guiking, NP
Title
Administrator
Phone
(702) 883-7336

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6224 Narrow Isthmus Ave
Las Vegas, NV 89139-6410

Mailing address

6224 Narrow Isthmus Ave
Las Vegas, NV 89139-6410
Phone (702) 883-7336

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1750291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750291200000",
    "number": "1386531663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 NARROW ISTHMUS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396410",
            "telephone_number": "702-883-7336",
            "fax_number": "702-333-2197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 NARROW ISTHMUS AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891396410",
            "telephone_number": "702-883-7336",
            "fax_number": "702-333-2197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRAVO HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-19",
        "last_updated": "2025-06-19",
        "certification_date": "2025-06-19",
        "status": "A",
        "authorized_official_last_name": "GUIKING",
        "authorized_official_first_name": "IRENEO",
        "authorized_official_middle_name": "LAZO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-883-7336",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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 Jun 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.