Radiant Hospice of Nevada LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

RADIANT HOSPICE OF NEVADA LLC

Practice address

5600 Spring Mountain Rd Ste 206
Las Vegas, NV 89146-8823

Phone

(702) 850-9004

NPI assigned

Feb 2, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Antonio Buna Jr., RN

Title

Administrator

Phone

(702) 850-9004

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291669

Legal name

RADIANT HOSPICE OF NEVADA LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Mar 20, 2024

Last certification

Feb 15, 2024

Organization structure

LLCProprietary

Incorporated

Jun 19, 2020 in NV

Enrollment address

5600 Spring Mountain Rd
Ste 108
Las Vegas, NV 89146-8822

Listed as

Radiant Hospice of Nevada LLCCCN 291669

Certified

Mar 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Maria Corazon Orozco Regalado, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1669420402

  Contracted Managing Employee

  CMS ownership

Affiliated clinicians 1

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

• Maria Corazon Orozco Regalado, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1669420402

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1612224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612224000000",
    "number": "1417548314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823",
            "telephone_number": "702-850-9004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 206",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823",
            "telephone_number": "702-850-9004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HOSPICE OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-02",
        "last_updated": "2021-02-02",
        "certification_date": "2021-02-02",
        "status": "A",
        "authorized_official_last_name": "BUNA",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-850-9004",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 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.

Verify at the official NPI Registry.