Angel'S Hope Home Health
Organization Active NPI Home Health Agency · Las Vegas, NV
NPI 1417355256 · NPPES record last updated Mar 27, 2024
Key facts
- NPI
- 1417355256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Home Health Agency 251E00000X
- Legal business name
- ANGEL'S HOPE HOME HEALTH
- Practice address
- 8645 S Eastern Ave Ste B
Las Vegas, NV 89123-2829 - Phone
- (702) 489-9102
- Fax
- (702) 489-9312
- NPI assigned
- Dec 10, 2014
- Organization subpart
- No
Authorized official
- Name
- Eleanor Ventura
- Title
- President
- Phone
- (702) 489-9102
Practitioners 1
Affiliated clinicians 6
-
Bernard K. Addo-Quaye, M.D.
-
Elsie Douglas Creason, FNP-C, PMHNP-BC
-
Rowena D Panganiban, NP-C
-
Rachel Marie Saenz, MSN, APRN, AGPCNP-C
Medicare Care Compare: Home health agency
- Listed as
- Angel'S Hope Home Health, Inc.
- Overall star rating
- ★★★★★ 5 of 5
- Ownership
- Proprietary
- Certified
- Jun 24, 2017
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
Home health agency certification: CCN 297227
- Legal name
- ANGEL'S HOPE HOME HEALTH
- Doing business as
- ANGEL'S HOPE HOMEHEALTH, INC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jun 24, 2017
- Last certification
- Jun 24, 2017
- Ownership / control type
- Proprietary
- Organization structure
- Corporation · Proprietary
- Incorporated
- Nov 17, 2014 in NV
- Enrollment address
- 8645 South Eastern Ave
BLDG 110 Ste B
Las Vegas, NV 89123-2829
All disclosed owners & managing parties 1
| Name | Role | Since | Share |
|---|---|---|---|
| Eleanor R Ventura |
5% Or Greater Direct Ownership Interest | Aug 14, 2020 | 100% |
| Corporate Officer |
Aug 14, 2020 | 100% | |
| W-2 Managing Employee | Feb 1, 2023 | 100% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20151221000008 | NV | Part a Provider - Home Health Agency | 0749581577 | Practice locations: Las Vegas, NV |
National Provider Directory
Locations
3160 S Valley View Blvd
Ste 101
Las Vegas, NV 89102
Phone (702) 205-5737
8645 S Eastern Ave
Ste B
Las Vegas, NV 89123
Phone (702) 489-9102
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NV | Yes |
Addresses
Primary practice location
8645 S Eastern Ave Ste B
Las Vegas, NV 89123-2829
Mailing address
8645 S Eastern Ave Ste B
Las Vegas, NV 89123-2829
Phone (702) 489-9102
Other names
- Angel's Hope Home Health,Inc
Other providers in Las Vegas, NV
- Luz Angel
- Nicole Katalina Angel
- Robert Angel
- Yamanky Angel
- Angel'S Arms LLC
- Angel'S of Joy Home Health, LLC
- Angel'S Palm LLC
- Angel'S Touch Home Care LLC
- Angel'S Touch Home Care LLC
- Angel'S Touch Home Health Care Inc.
All providers in Las Vegas, NV · Home Health Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.