NPIMap

Organization Active NPI

Crest Point Home Health LLC

Doing business as Crest Point Home Healthcare

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1518558113
Registry record updated Jul 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CREST POINT HOME HEALTH LLC
Doing business as
Crest Point Home Healthcare
Practice address
1717 S Eastern Ave
Las Vegas, NV 89104-3943
Phone
(702) 330-0232
Fax
(702) 333-0545
NPI assigned
Jan 27, 2021
Last updated
Jul 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2026

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

Authorized official

Name
Okechukwu Prince EtoniruNPI 1346907474
Title
Administrator, RN
Phone
(702) 984-8377

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1717 S Eastern Ave
Las Vegas, NV 89104-3943

Mailing address

1717 S Eastern Ave
Las Vegas, NV 89104-3943
Phone (702) 330-0232

Other names 1

  • Crest Point Home Healthcare Doing business as

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL https//www.ultrahhc.com Health Information Exchange (HIE)
Other URL https//www.ultrahhc.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210830000902 NV Part A Provider - Home Health Agency 9436554482 Practice locations: North Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518558113. Details of each certification follow.

Home health agency certification: CCN 297327

Legal name
CREST POINT HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Oct 31, 2022
Last certification
Oct 14, 2022
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Nov 3, 2018 in NV
Enrollment address
4129 Juanita May Ave
North Las Vegas, NV 89032-8951

Care Compare: Home health agency

Medicare Care Compare
Listed as
Crest Point Home Health CareCCN 297327 · All quality measures
Ownership
Proprietary
Certified
Oct 31, 2022
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Home health aide, Physical therapy, Occupational therapy

National Provider Directory

National Provider Directory

Locations

1717 S Eastern Ave
Las Vegas, NV 89104

Ownership & related parties

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.

NameRoleSinceShare
Okechukwu Etoniru Individual 5% Or Greater Direct Ownership InterestCeo Nov 3, 2018 100%
Corporate Director Nov 3, 2018
Operational/Managerial Control Nov 3, 2018

Practitioners & affiliated clinicians

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.

Affiliated clinicians 3

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": "1611705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1783296000000",
    "number": "1518558113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043943",
            "telephone_number": "702-330-0232",
            "fax_number": "702-333-0545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 S EASTERN AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043943",
            "telephone_number": "702-330-0232",
            "fax_number": "702-333-0545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST POINT HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-27",
        "last_updated": "2026-07-06",
        "certification_date": "2026-07-06",
        "status": "A",
        "authorized_official_last_name": "ETONIRU",
        "authorized_official_first_name": "OKECHUKWU",
        "authorized_official_middle_name": "PRINCE",
        "authorized_official_title_or_position": "ADMINISTRATOR, RN",
        "authorized_official_telephone_number": "702-984-8377"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https//www.ultrahhc.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "4129 Juanita May Ave",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890328951",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "https//www.ultrahhc.com",
            "affiliation": "N",
            "address_1": "4129 Juanita May Ave",
            "city": "North Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "890328951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Crest Point Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Crest Point Home Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.