St Terrys Hospitium & Palliative Care LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ST TERRYS HOSPITIUM & PALLIATIVE CARE LLC

Doing business as

St Terry's Home Health

Practice address

3824 S Jones Blvd Ste F1
Las Vegas, NV 89103-2453

Phone

(702) 542-8455

NPI assigned

May 11, 2021

Organization subpart

No

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

Authorized official

Name

Mariam Kuchakhchian

Title

Admin

Phone

(702) 542-8455

Specialties & licenses 1

Addresses

Other names 1

• ST TERRY'S HOME HEALTH Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

Home health agency certification: CCN 297349

Legal name

ST TERRYS HOSPITIUM & PALLIATIVE CARE LLC

Doing business as

ST. TERRY'S HOME HEALTH

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Jun 12, 2024

Last certification

Jun 12, 2024

Organization structure

LLCProprietary

Incorporated

May 9, 2023 in NV

Enrollment address

3824 S Jones Blvd
Ste F
Las Vegas, NV 89103-2451

Listed as

St Terrys Home HealthCCN 297349 · All quality measures

Overall star rating

1 of 5

Ownership

-

Certified

Jun 12, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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.

Affiliated clinicians 3

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

• Kathleen Crosby Cansler, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1801931761

  Home health agency

  Care Compare affiliation
• Mouchir S. Harb, M.D.

  • Neurology Physician
  • Las Vegas, NV
  • NPI 1184615098

  Home health agency

  Care Compare affiliation
• Kerwin Yap, NP

  • Adult Health Nurse Practitioner
  • Las Vegas, NV
  • NPI 1386916831

  Home health agency

  Care Compare affiliation

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1689258063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S JONES BLVD STE F1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032453",
            "telephone_number": "702-542-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S JONES BLVD STE F1",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032453",
            "telephone_number": "702-542-8455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST TERRYS HOSPITIUM & PALLIATIVE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "KUCHAKHCHIAN",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "702-542-8455"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ST TERRY'S HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• St Marys Home Health Care Inc
• St Micheals Behavioralhealth Services LLC
• Fabian Ernesto St Paul
• St Rafael Medicine LLC
• St Rose Psychiatry, PLLC
• St Terrys Hospitium & Palliative Care LLC (St Terrys Home Health)
• Brittney Jane St Vincent
• St. Andrew Care Home
• Jaime Leann St. Claire, PHARMD
• St. Joseph Transitional Rehabilitation Center, LLC (St. Joseph Transitional Rehabilitation Center)

• 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 10, 2023; 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.