NPIMap

Organization Active NPI

Elite Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1598046922
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
6178HHA-0 Issued in NV
Legal business name
ELITE HOME HEALTH CARE LLC
Practice address
1336 S Decatur Blvd # a
Las Vegas, NV 89102-8510
Phone
(702) 998-4465
Fax
(702) 998-4471
NPI assigned
Aug 30, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Authorized official

Name
Mr. Mohamed A KamaraNPI 1639661549
Title
Owner
Phone
(702) 487-0920

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 6178HHA-0 NV Primary

Addresses

Primary practice location

1336 S Decatur Blvd # a
Las Vegas, NV 89102-8510

Mailing address

1336 S Decatur Blvd # a
Las Vegas, NV 89102-8510
Phone (702) 998-4465

Other identifiers 1

IdentifierTypeStateIssuer
617HHA-0OtherNVSTATE OF NEVADA BUREAU OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH

Other names 1

  • ELITE HOME HEALTH CARE LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111010000512 NV Part A Provider - Home Health Agency 1052583341 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297200

Legal name
ELITE HOME HEALTH CARE, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 6, 2012
Last certification
Apr 3, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 30, 2009 in NV
Enrollment address
1336 S Decatur Blvd
Ste a
Las Vegas, NV 89102-8510

Care Compare: Home health agency

Medicare Care Compare
Listed as
Elite Home Health Care, LLCCCN 297200
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Dec 6, 2012
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

1336 S Decatur Blvd
Ste A
Las Vegas, NV 89102
Phone (702) 522-3937

1336 S Decatur Blvd
#A
Las Vegas, NV 89102
Phone (702) 998-4465

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
Mohamed Kamara Individual 5% Or Greater Direct Ownership InterestAdministrator Aug 29, 2011 100%
Corporate OfficerCeo Oct 5, 2009
Corporate DirectorCeo Oct 5, 2009
Operational/Managerial Control Oct 5, 2009

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": "1314662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725926400000",
    "number": "1598046922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1336 S DECATUR BLVD # A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028510",
            "telephone_number": "702-998-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1336 S DECATUR BLVD # A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891028510",
            "telephone_number": "702-998-4465",
            "fax_number": "702-998-4471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-30",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A",
        "authorized_official_last_name": "KAMARA",
        "authorized_official_first_name": "MOHAMED",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-487-0920",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "6178HHA-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA BUREAU OF HEALTH AND HUMAN SERVICES DIVISION OF HEALTH",
            "identifier": "617HHA-0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELITE HOME HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ELITE HOME HEALTH CARE LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.