Organization Active NPI

Caring Hearts Home Health LLC

  • Home Health Agency
  • North Las Vegas, NV
National Provider Identifier
1609549625
Registry record updated Jul 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CARING HEARTS HOME HEALTH LLC
Practice address
2415 Reynolds Ave Ste 100F
North Las Vegas, NV 89030-7279
Phone
(775) 233-5409
Fax
(702) 442-2121
NPI assigned
Jul 27, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2021

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

Authorized official

Name
Dr. Mukwel Aiyuk, DNP
Title
Ceo/President
Phone
(775) 233-5409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2415 Reynolds Ave Ste 100F
North Las Vegas, NV 89030-7279

Mailing address

304 S Jones Blvd Ste 3501
Las Vegas, NV 89107-2623
Phone (775) 233-5409

Other names 1

  • CARING HEARTS HOME HEALTH LLC Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211011000111 CA Part A Provider - Home Health Agency 5092113746 Practice locations: North Las Vegas, NV

Home health agency certification: CCN 297331

Legal name
CARING HEARTS HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Mar 11, 2023
Last certification
Feb 24, 2023
Organization structure
LLCProprietary
Incorporated
May 31, 2020 in NV
Enrollment address
2415 Reynolds Ave
Ste 100F
North Las Vegas, NV 89030-7279

Care Compare: Home health agency

Medicare Care Compare
Listed as
Caring Hearts Home Health, LLCCCN 297331
Ownership
-
Certified
Mar 11, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2415 Reynolds Ave
Ste 100F
North Las Vegas, NV 89030
Phone (775) 233-5409

Ownership & related parties

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.

NameRoleSinceShare
Caleb Aiyuk Individual 5% Or Greater Direct Ownership Interest May 20, 2020 10%
W-2 Managing EmployeeCoo May 20, 2020 10%
Mukwel E Aiyuk Individual 5% Or Greater Direct Ownership Interest May 20, 2020 90%

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

Affiliated clinicians 1

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": "1627344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1627344000000",
    "number": "1609549625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 S JONES BLVD STE 3501",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891072623",
            "telephone_number": "775-233-5409",
            "fax_number": "702-442-2121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2415 REYNOLDS AVE STE 100F",
            "city": "NORTH LAS VEGAS",
            "state": "NV",
            "postal_code": "890307279",
            "telephone_number": "775-233-5409",
            "fax_number": "702-442-2121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING HEARTS HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-27",
        "last_updated": "2021-07-27",
        "certification_date": "2021-07-26",
        "status": "A",
        "authorized_official_last_name": "AIYUK",
        "authorized_official_first_name": "MUKWEL",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "775-233-5409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARING HEARTS HOME HEALTH LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in North Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.