NPIMap

Organization Active NPI

Corporacion Las Vegas, LLC

  • Home Health Agency
  • Manati, PR
National Provider Identifier
1659364248
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CORPORACION LAS VEGAS, LLC
Practice address
Carr 2
Edif Las Vegas #420, Bo Campo Alegre
Manati, PR 00674-5765
Phone
(787) 854-1426
Fax
(787) 884-3757
NPI assigned
Aug 29, 2005
Last updated
Apr 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Mrs. Isamar Hassan Perez, RPT
Title
Executive Director
Phone
(787) 854-1426

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

Carr 2
Edif Las Vegas #420, Bo Campo Alegre
Manati, PR 00674-5765

Mailing address

PO Box 1086
Rd #2, Las Vegas BLDG. #420, Bo Campo Alegre
Manati, PR 00674-1086
Phone (787) 854-1426

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060828000141 PR Part A Provider - Home Health Agency 2062416407 Practice locations: Manati, PR

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659364248. Details of each certification follow.

Home health agency certification: CCN 407014

Legal name
CORPORACION LAS VEGAS, LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 15, 1978
Last certification
May 21, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Sep 17, 1977 in PR
Enrollment address
Sector Campo Alegre Carr 2, KM.46.4
Edificio Las Vegas #420
Manati, PR 00674-1086
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Corporacion Las Vegas, LLCCCN 407014 · All quality measures
Overall star rating
5 of 5
Ownership
Proprietary
Certified
Jun 15, 1978
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

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
Isamar Hassan Perez Individual 5% Or Greater Indirect Ownership Interest May 31, 2006 100%
Corporate Officer May 31, 2006 100%
Corporate Director May 31, 2006 100%
W-2 Managing EmployeeAd; May 31, 2006 100%
M&a CLV Investment, LLC Organization, Sam Juan, PR Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Feb 4, 2022 100%

Practitioners & affiliated clinicians

Practitioners 2

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 35

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

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1125273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1659364248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "address_2": "RD #2, LAS VEGAS BLDG. #420, BO CAMPO ALEGRE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006741086",
            "telephone_number": "787-854-1426",
            "fax_number": "787-884-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CARR 2",
            "address_2": "EDIF LAS VEGAS #420, BO CAMPO ALEGRE",
            "city": "MANATI",
            "state": "PR",
            "postal_code": "006745765",
            "telephone_number": "787-854-1426",
            "fax_number": "787-884-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORPORACION LAS VEGAS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-29",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "HASSAN PEREZ",
        "authorized_official_first_name": "ISAMAR",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "787-854-1426",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manati, PR

Sources for this page

Verify at the official NPI Registry.