Organization Active NPI

Arna Home Health, LLC.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1396201331
Registry record updated Feb 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
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

Updated by the provider on Feb 7, 2021

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 297262
Overall star rating
1 of 5
Ownership
Proprietary
Certified
Apr 4, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Gohar Patvakanyan Individual 5% Or Greater Direct Ownership InterestOwner Oct 18, 2017 100%
Corporate OfficerAdministrator/Owner Oct 18, 2017 100%
Corporate DirectorAdministrator/Owner Oct 18, 2017 100%
W-2 Managing EmployeeAdministrator/Owner Oct 18, 2017 100%
Operational/Managerial ControlAdministrator/Owner 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

Verify at the official NPI Registry.