Sacred Heart LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

SACRED HEART LLC

Practice address

3311 S Rainbow Blvd Ste 101
Las Vegas, NV 89146-6596

Phone

(725) 247-0388

NPI assigned

Jul 19, 2022

Organization subpart

No

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

Authorized official

Name

Mr. Francisco RetiradoNPI 1568211274

Title

Owner

Phone

(702) 321-6145

Specialties & licenses 1

Addresses

Other names 1

• Sacred Heart Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Hospice certification: CCN 291643

Legal name

SACRED HEART LLC

Doing business as

SACRED HEART HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

Apr 10, 2023

Last certification

Mar 10, 2023

Organization structure

LLCProprietary

Enrollment address

3311 S Rainbow Blvd
Ste 101
Las Vegas, NV 89146-6596

Listed as

Sacred Heart Hospice CareCCN 291643

Certified

Apr 10, 2023

Medicare certification status

ActiveFrom the Provider of Services file

Locations

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

Owners & managing parties with NPI records 1

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

• Wilbert Francis Ching, MD

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1982990115

  Contracted Managing Employee

  CMS ownership

Practitioners 2

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

• Francisco Retirado

  • Behavior Technician
  • Las Vegas, NV
  • NPI 1568211274
  NPD Authorized official
• Joy Villamora, RN

  • Registered Nurse
  • Las Vegas, NV
  • NPI 1518474261
  NPD

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

{
    "created_epoch": "1658188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661212800000",
    "number": "1609501097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "725-247-0388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 S RAINBOW BLVD STE 101",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891466596",
            "telephone_number": "725-247-0388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED HEART LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A",
        "authorized_official_last_name": "RETIRADO",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-321-6145",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sacred Heart Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sacred Heart Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Michelle Sackmann
• Alan Jeffrey Sacks, MD
• Andrea Marie Sacks, DDS
• Sacred Heart Diagnostics Center, Incorporated
• Sacred Heart Homecare Services, Inc.
• Sacred Heart Wellness Center PLLC
• Anton Sadallah
• Mahfoud Ramez Saddi
• Courtney Saddler, MS, LMHC
• Jacqueline R Saddler

• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; 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.