Organization Active NPI

Mother'S Care Home Health Services, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1508809526
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
794561988 Issued in NV
Legal business name
MOTHER'S CARE HOME HEALTH SERVICES, INC.
Practice address
1412 S Decatur Blvd
Las Vegas, NV 89102-8511
Phone
(702) 565-0208
Fax
(702) 565-0218
NPI assigned
Jun 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Authorized official

Name
Mrs. Ma. Nancy Bondoc Briones, R.N.
Title
Administrator/Dopcs
Phone
(702) 565-0208

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 794561988 NV Primary

Addresses

Primary practice location

1412 S Decatur Blvd
Las Vegas, NV 89102-8511

Mailing address

1412 S Decatur Blvd
Las Vegas, NV 89102-8511
Phone (702) 565-0208

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041112001078 NV Part A Provider - Home Health Agency 0446214191 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297130

Legal name
MOTHERS CARE HOME HEALTH SERVICES INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 17, 2006
Last certification
Apr 2, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 23, 2004 in NV
Enrollment address
1601 S Rainbow Blvd
Ste 230a
Las Vegas, NV 89146-0895
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mother'S Care Home Health Services, IncCCN 297130
Ownership
Proprietary
Certified
Oct 17, 2006
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1601 S Rainbow Blvd
Ste 230A
Las Vegas, NV 89146
Phone (702) 565-0208

1412 S Decatur Blvd
Las Vegas, NV 89102
Phone (702) 565-0208

Ownership & related parties

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.

NameRoleSinceShare
Salvador Patrick Briones Abiera Individual 5% Or Greater Direct Ownership InterestBoard of Director Jun 3, 2021 23%
Corporate Director Jun 3, 2021 23%
Makia Nancy B Briones Individual 5% Or Greater Direct Ownership InterestOwner Jun 3, 2021 38.5%
Corporate Director Jun 3, 2021 38.5%
Teodora B Briones Individual 5% Or Greater Direct Ownership Interest Jun 3, 2021 38.5%
W-2 Managing Employee Jun 3, 2021 38.5%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 1

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

Affiliated clinicians 4

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

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366848000000",
    "number": "1508809526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1412 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-565-0208",
            "fax_number": "702-565-0218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1412 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028511",
            "telephone_number": "702-565-0208",
            "fax_number": "702-565-0218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER'S CARE HOME HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-14",
        "last_updated": "2013-04-25",
        "status": "A",
        "authorized_official_last_name": "BRIONES",
        "authorized_official_first_name": "MA. NANCY",
        "authorized_official_middle_name": "BONDOC",
        "authorized_official_title_or_position": "ADMINISTRATOR/DOPCS",
        "authorized_official_telephone_number": "702-565-0208",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "794561988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.