Organization Active NPI

Honesty Home Health Care LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1659996676
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
HONESTY HOME HEALTH CARE LLC
Practice address
5024 Alta Dr Ste B
Las Vegas, NV 89107-3927
Phone
(702) 984-7988
Fax
(702) 727-4358
NPI assigned
Jun 16, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

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

Authorized official

Name
Paul James De Chavez Obungen, RN
Title
Administrator
Phone
(908) 265-3303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

5024 Alta Dr Ste B
Las Vegas, NV 89107-3927

Mailing address

5024 Alta Dr Ste B
Las Vegas, NV 89107-3927
Phone (702) 984-7988

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200810003253 NV Part A Provider - Home Health Agency 5496170219 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297312

Legal name
HONESTY HOME HEALTH CARE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 30, 2021
Last certification
Jun 30, 2021
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 26, 2020 in NV
Enrollment address
5024 Alta Dr
Ste B
Las Vegas, NV 89107-3927

Care Compare: Home health agency

Medicare Care Compare
Listed as
Honesty Home Health Care LLCCCN 297312 · All quality measures
Ownership
Proprietary
Certified
Jun 30, 2021
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2224371Honesty Home Health Care LLC5024 Alta Dr Ste B, Las Vegas, NV 89107Certificate of waiverMay 11, 2027

National Provider Directory

National Provider Directory

Locations

5024 Alta Dr
Ste B
Las Vegas, NV 89107
Phone (702) 984-7988

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
Honesty Home Health Care LLC Organization, Las Vegas, NV Created for acquisition, LLC 5% Or Greater Direct Ownership Interest Mar 31, 2020 100%
Paul Obungen Individual Contracted Managing EmployeeAdministrator Mar 31, 2020 20%
5% Or Greater Direct Ownership InterestAdministrator Mar 31, 2020 20%

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1592265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1592697600000",
    "number": "1659996676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5024 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073927",
            "telephone_number": "702-984-7988",
            "fax_number": "702-727-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5024 ALTA DR STE B",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073927",
            "telephone_number": "702-984-7988",
            "fax_number": "702-727-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONESTY HOME HEALTH CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-16",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A",
        "authorized_official_last_name": "OBUNGEN",
        "authorized_official_first_name": "PAUL JAMES",
        "authorized_official_middle_name": "DE CHAVEZ",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "908-265-3303",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.