NPIMap

Organization Active NPI

Physicians Choice Home Health Care, Inc

  • Home Health Agency
  • Pahrump, NV
National Provider Identifier
1437210861
Registry record updated Sep 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PHYSICIANS CHOICE HOME HEALTH CARE, INC
Practice address
3190 S Highway 160
Suite 1
Pahrump, NV 89048-8904
Phone
(775) 537-1000
Fax
(775) 537-1079
NPI assigned
Dec 12, 2006
Last updated
Sep 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2022

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

Authorized official

Name
Amira Nawal Lucas
Title
HR Director
Phone
(801) 281-1314

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

3190 S Highway 160
Suite 1
Pahrump, NV 89048-8904

Mailing address

6720 Via Austi Pkwy Ste 250
Las Vegas, NV 89119-3568
Phone (702) 563-1717

Other practice location 1

6720 Via Austi Pkwy Ste 250
Las Vegas, NV 89119-3568
Phone (702) 563-1717

Other identifiers 2

IdentifierTypeStateIssuer
11912OtherNVHOME HEALTH AGENCY
100500831MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20030522000061 NV Part A Provider - Home Health Agency 1557271913 Practice locations: Las Vegas, NV; Pahrump, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1437210861. Details of each certification follow.

Home health agency certification: CCN 297107

Legal name
PHYSICIANS CHOICE HOME HEALTH CARE, INC
Doing business as
PHYSICIANS CHOICE
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 16, 2003
Last certification
Jun 12, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Mar 11, 2003 in NV
Enrollment address
6720 Via Austi Pkwy
Ste 250
Las Vegas, NV 89119-3568

Care Compare: Home health agency

Medicare Care Compare
Listed as
Physicians Choice Home Health Care IncCCN 297107 · All quality measures
Overall star rating
2.5 of 5
Ownership
Proprietary
Certified
Oct 16, 2003
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2240228Physicians Choice Home Health Care Inc6720 Via Austi Pkwy Ste 250, Las Vegas, NV 89119Certificate of waiverOct 17, 2027
29D2331254Physicians Choice Home Health Care Inc3190 S Highway 160 I, Pahrump, NV 89048Certificate of waiverSep 28, 2027

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

601 Whitney Ranch Dr
Ste D22
Henderson, NV 89014
Phone (702) 563-1717

3190 S Nevada Highway 160
Ste 1
Pahrump, NV 89048
Phone (775) 537-1000

3190 S Nevada Highway 160
Ste I
Pahrump, NV 89048
Phone (775) 537-1000

Ownership & related parties

All disclosed owners & managing parties 6

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

NameRoleSinceShare
James G Rowley Individual 5% Or Greater Indirect Ownership Interest Oct 15, 2012 40%
Corporate DirectorOwner Oct 15, 2012 40%
Operational/Managerial ControlOwner Oct 15, 2012
Physicians Choice Home Health Care Inc 401K Plan Organization, Las Vegas, NV Created for acquisition, Corporation, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Oct 15, 2018 20%
Robert Wren Individual 5% Or Greater Indirect Ownership InterestPresident Oct 15, 2018 20%
Inspiration Home Healthllc Organization, Clearfield, UT For-profit 5% Or Greater Direct Ownership Interest Oct 15, 2012 80%
Julie a Shupe Individual W-2 Managing EmployeeAd; Apr 1, 2017 80%
Jay R Wren Individual 5% Or Greater Indirect Ownership Interest Oct 15, 2012 40%
Corporate OfficerOwner Oct 15, 2012 40%
Operational/Managerial ControlOwner Oct 15, 2012

Owners & managing parties with NPI records 2

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

Practitioners & affiliated clinicians

Affiliated clinicians 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664150400000",
    "number": "1437210861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6720 VIA AUSTI PKWY STE 250",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193568",
            "telephone_number": "702-563-1717",
            "fax_number": "702-563-1718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 S HIGHWAY 160",
            "address_2": "SUITE 1",
            "city": "PAHRUMP",
            "state": "NV",
            "postal_code": "890488904",
            "telephone_number": "775-537-1000",
            "fax_number": "775-537-1079"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6720 Via Austi Pkwy Ste 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891193568",
            "country_code": "US",
            "telephone_number": "702-563-1717",
            "fax_number": "702-563-1718",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIANS CHOICE HOME HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2022-09-26",
        "certification_date": "2022-09-09",
        "status": "A",
        "authorized_official_last_name": "LUCAS",
        "authorized_official_first_name": "AMIRA",
        "authorized_official_middle_name": "NAWAL",
        "authorized_official_title_or_position": "HR DIRECTOR",
        "authorized_official_telephone_number": "801-281-1314"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "11912",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100500831",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pahrump, NV

Sources for this page

Verify at the official NPI Registry.