NPIMap

Organization Active NPI

Heart Well Rehabilitation

  • Cardiac Rehabilitation Clinic/Center
  • Henderson, NV
National Provider Identifier
1467315754
Registry record updated Dec 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiac Rehabilitation Clinic/CenterTaxonomy code 261QR0404X
Legal business name
HEART WELL REHABILITATION
Practice address
2475 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5946
Phone
(877) 478-9355
NPI assigned
Dec 4, 2025
Organization subpart
Yes
Parent organization
HEART WELL REHABILITATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 4, 2025

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

Authorized official

Name
Vea Evangelista
Title
Director
Phone
(646) 639-3411

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered NurseGroup: 193200000X MULTI-SPECIALTY GROUP 163WC3500X
Cardiac Rehabilitation Clinic/Center 261QR0404X Primary

Addresses

Primary practice location

2475 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5946

Mailing address

2475 W Horizon Ridge Pkwy Ste 100
Henderson, NV 89052-5946
Phone (877) 478-9355

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260216002874 NV Part B Supplier - Intensive Cardiac Rehabilitation 1254811524 Receives reassigned benefits from 1 practitioner
Practice locations: Henderson, NV

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Heart Well Rehabilitation2 organizations share this tax ID, including this one
Part of
Heart Well Rehabilitation

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2475 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 463-3501

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1764806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764806400000",
    "number": "1467315754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2475 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525946",
            "telephone_number": "877-478-9355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2475 W HORIZON RIDGE PKWY STE 100",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525946",
            "telephone_number": "877-478-9355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART WELL REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEART WELL REHABILITATION",
        "enumeration_date": "2025-12-04",
        "last_updated": "2025-12-04",
        "certification_date": "2025-12-04",
        "status": "A",
        "authorized_official_last_name": "EVANGELISTA",
        "authorized_official_first_name": "VEA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-639-3411"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0404X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Cardiac Facilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.