Comprehensive Hospice Care, LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

License

2004768-062-101 Issued in NV

Legal business name

COMPREHENSIVE HOSPICE CARE, LLC

Practice address

3750 S Jones Blvd Ste 180
Las Vegas, NV 89103-2210

Phone

(702) 405-6400

Fax

(702) 405-9796

NPI assigned

Jun 19, 2018

Last updated

Mar 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Maria Elaine Estepa

Title

Owner

Phone

(702) 405-6400

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1679067037. Details of each certification follow.

• CCN 291571 Hospice · Active · Details

Hospice certification: CCN 291571

Legal name

COMPREHENSIVE HOSPICE CARE, LLC

Doing business as

NOT APPLICABLE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 4, 2020

Last certification

May 4, 2020

Ownership / control type

Proprietary - Corporation

Organization structure

LLCProprietary

Incorporated

Apr 23, 2018 in NV

Enrollment address

3750 S Jones Blvd
Ste 180
Las Vegas, NV 89103-2210

Listed as

Comprehensive Hospice Care LLCCCN 291571 · All quality measures

Ownership

For-Profit

Certified

May 4, 2020

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 5

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.

• Ryan Huang, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1871942151

  Contracted Managing Employee, Corporate Director

  CMS ownership

Affiliated clinicians 1

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

• Ricardo Cruz, D.O.

  • Family Medicine Physician
  • Las Vegas, NV
  • NPI 1104236215

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648166400000",
    "number": "1679067037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032210",
            "telephone_number": "702-405-6400",
            "fax_number": "702-405-9796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3750 S JONES BLVD STE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032210",
            "telephone_number": "702-405-6400",
            "fax_number": "702-405-9796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HOSPICE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-19",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A",
        "authorized_official_last_name": "ESTEPA",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-405-6400"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "2004768-062-101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.