Active NPI
Arna Home Health, LLC.
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1396201331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- ARNA HOME HEALTH, LLC.
- Practice address
- 4495 W. Hacienda Ave.
Suite 11C
Las Vegas, NV 89118 - Phone
- (702) 476-5920
- Fax
- (702) 485-1522
- NPI assigned
- Feb 14, 2019
- 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
- Gohar Patvakanyan
- Title
- Administrator
- Phone
- (702) 476-5920
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
4495 W. Hacienda Ave.
Suite 11C
Las Vegas, NV 89118
Mailing address
4495 W. Hacienda Ave.
Suite 11C
Las Vegas, NV 89118
Phone (702) 476-5920
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190718000040 | NV | Part A Provider - Home Health Agency | 0143555755 | Practice locations: Las Vegas, NV |
Home health agency certification: CCN 297262
- Legal name
- ARNA HOME HEALTH LLC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Apr 4, 2020
- Last certification
- Apr 4, 2020
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Nov 1, 2020 in NV
- Enrollment address
- 4495 W Hacienda Ave
Ste 11C
Las Vegas, NV 89118-1541
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Arna Home Health LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Apr 4, 2020
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
2770 S Maryland Pkwy
Ste 500A
Las Vegas, NV 89109
Phone (702) 476-5920
4495 W Hacienda Ave
Ste 11C
Las Vegas, NV 89118
Phone (702) 476-5920
Ownership & related parties
All disclosed owners & managing parties 1
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 |
|---|---|---|---|
| Gohar Patvakanyan | 5% Or Greater Direct Ownership Interest | Oct 18, 2017 | 100% |
| Corporate Officer | Oct 18, 2017 | 100% | |
| Corporate Director | Oct 18, 2017 | 100% | |
| W-2 Managing Employee | Oct 18, 2017 | 100% | |
| Operational/Managerial Control | Oct 18, 2017 | 100% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1550102400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1612656000000",
"number": "1396201331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4495 W. HACIENDA AVE.",
"address_2": "SUITE 11C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "702-476-5920",
"fax_number": "702-485-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4495 W. HACIENDA AVE.",
"address_2": "SUITE 11C",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "89118",
"telephone_number": "702-476-5920",
"fax_number": "702-485-1522"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ARNA HOME HEALTH, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2019-02-14",
"last_updated": "2021-02-07",
"certification_date": "2021-02-07",
"status": "A",
"authorized_official_last_name": "PATVAKANYAN",
"authorized_official_first_name": "GOHAR",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "702-476-5920"
},
"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 Feb 7, 2021; 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.