Carepro Hospice LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

CAREPRO HOSPICE LLC

Doing business as

Carepro Hospice

Practice address

5280 S Eastern Ave
Suite C3
Las Vegas, NV 89119-2396

Phone

(702) 879-8413

NPI assigned

Feb 19, 2013

Last updated

Mar 4, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Alexis Garcia Calipusan

Title

Administrator

Phone

(702) 879-8413

Specialties & licenses 1

Addresses

Other names 1

• Carepro Hospice Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407196090. Details of each certification follow.

• CCN 291547 Hospice · Active · Details

Hospice certification: CCN 291547

Legal name

CAREPRO HOSPICE LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Aug 2, 2016

Last certification

Jul 24, 2020

Ownership / control type

Proprietary - Individual

Organization structure

LLCProprietary

Incorporated

Feb 8, 2013 in NV

Enrollment address

1771 E Flamingo Rd
Ste 208B
Las Vegas, NV 89119-0853

Listed as

Carepro Hospice, LLCCCN 291547 · All quality measures

Ownership

For-Profit

Certified

Aug 2, 2016

Medicare certification status

ActiveFrom the Provider of Services file

Locations

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.

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.

• Alexis Garcia-Calipusan

  • Meals Provider
  • Las Vegas, NV
  • NPI 1104797984
  NPD

Affiliated clinicians 2

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Richard William Katschke Jr., MD

  • Family Medicine Physician
  • Caliente, NV
  • NPI 1427122977

  Hospice

  Care Compare affiliation
• Syed Faiz Rahman, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Henderson, NV
  • NPI 1427169986

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1361232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1362355200000",
    "number": "1407196090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5280 S EASTERN AVE",
            "address_2": "SUITE C3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192396",
            "telephone_number": "702-879-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5280 S EASTERN AVE",
            "address_2": "SUITE C3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891192396",
            "telephone_number": "702-879-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREPRO HOSPICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-19",
        "last_updated": "2013-03-04",
        "status": "A",
        "authorized_official_last_name": "CALIPUSAN",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_middle_name": "GARCIA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-879-8413",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carepro Hospice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Providers in Las Vegas, NV by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2013; 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.

Verify at the official NPI Registry.