Real Community Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

REAL COMMUNITY HOME HEALTH LLC

Practice address

4660 S Eastern Ave Ste 205
Las Vegas, NV 89119-6139

Phone

(702) 832-7204

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By 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

George Arevalo Blanco

Title

Managing Member

Phone

(702) 832-7204

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1467050773. Details of each certification follow.

• CCN 297353 Home health agency · Active · Details

Home health agency certification: CCN 297353

Legal name

REAL COMMUNITY HOME HEALTH LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Oct 7, 2024

Last certification

Aug 8, 2024

Organization structure

LLCProprietary

Incorporated

Oct 8, 2020 in NV

Enrollment address

4660 S Eastern Ave
Ste 205
Las Vegas, NV 89119-6139

Listed as

Real Community Home Health LLCCCN 297353 · All quality measures

Ownership

-

Certified

Oct 7, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

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.

• Yanet San Pedro Avile

  • Rehabilitation Practitioner
  • Las Vegas, NV
  • NPI 1861868374
  NPD

Affiliated clinicians 6

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

• Yuk Ki Choi

  • Nurse Practitioner
  • Henderson, NV
  • NPI 1679928535

  Home health agency

  Care Compare affiliation
• Pedro P Ge Acuna, APRN-CNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1316314008

  Home health agency

  Care Compare affiliation
• Jay Jay Magtoto Joseph, APN

  • Primary Care Nurse Practitioner
  • Las Vegas, NV
  • NPI 1336429745

  Home health agency

  Care Compare affiliation
• Cristopher R Lipana, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1457934887

  Home health agency

  Care Compare affiliation
• Marti Liranza Casin, FNP

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1801635461

  Home health agency

  Care Compare affiliation
• William V Quiba, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1750959086

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1602201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602201600000",
    "number": "1467050773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196139",
            "telephone_number": "702-832-7204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 S EASTERN AVE STE 205",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196139",
            "telephone_number": "702-832-7204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL COMMUNITY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A",
        "authorized_official_last_name": "AREVALO BLANCO",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-832-7204"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.