Jireh Healthcare Services LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

H14-00300-H-151012 Issued in NV

Legal business name

JIREH HEALTHCARE SERVICES LLC

Practice address

2320 Paseo del Prado
Suite B101
Las Vegas, NV 89102-0048

Phone

(702) 359-1388

Fax

(702) 359-2388

NPI assigned

Sep 21, 2010

Organization subpart

No

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

Authorized official

Name

Mr. Romeo A Sedano Jr.

Title

Ceo

Phone

(702) 359-1388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291533

Legal name

JIREH HEALTHCARE SERVICES LLC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 20, 2013

Last certification

Feb 10, 2022

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Aug 17, 2010 in NV

Enrollment address

2688 S Rainbow Blvd
Ste a
Las Vegas, NV 89146-0063

Listed as

Jireh Healthcare Services, LLCCCN 291533

Ownership

For-Profit

Certified

Apr 20, 2013

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 3

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 Pilar Faylona, M.D. P.C.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1770677676

  Contracted Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Maria Pilar Faylona, M.D. P.C.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1770677676
  NPD (past)

Affiliated clinicians 1

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

• Maria Pilar Faylona, M.D. P.C.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1770677676

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476835200000",
    "number": "1427366699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO",
            "address_2": "SUITE B101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020048",
            "telephone_number": "702-359-1388",
            "fax_number": "702-359-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PASEO DEL PRADO",
            "address_2": "SUITE B101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891020048",
            "telephone_number": "702-359-1388",
            "fax_number": "702-359-2388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JIREH HEALTHCARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-21",
        "last_updated": "2016-10-19",
        "status": "A",
        "authorized_official_last_name": "SEDANO",
        "authorized_official_first_name": "ROMEO",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-359-1388",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "H14-00300-H-151012",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Jin
• Yinghong Jin
• Yumi Jin
• Jingle Ching Kavinta PLLC
• Thomas Jinkens
• Jireh Services Center
• Anita Jivan, DDS
• JJ Harris & Associates
• JJ Harris & Associates
• Jkgreaterblessingsllc

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2016; 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.