Active NPI
Family Home Healthcare, Inc
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1699323220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- Legal business name
- FAMILY HOME HEALTHCARE, INC
- Practice address
- 2975 S Rainbow Blvd Ste a
Las Vegas, NV 89146-6597 - Phone
- (702) 979-9927
- NPI assigned
- Aug 27, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Gene John Mabasa
- Title
- Ceo
- Phone
- (213) 570-7160
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | Primary |
Addresses
Primary practice location
2975 S Rainbow Blvd Ste a
Las Vegas, NV 89146-6597
Mailing address
2975 S Rainbow Blvd Ste a
Las Vegas, NV 89146-6597
Phone (702) 979-9927
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20190918001947 | NV | Part A Provider - Home Health Agency | 0244560217 | Practice locations: Las Vegas, NV |
Home health agency certification: CCN 297258
- Legal name
- FAMILY HOME HEALTHCARE INC
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Nov 18, 2019
- Last certification
- Nov 18, 2019
- Ownership / control type
- Proprietary
- Organization structure
- Corporation
- Enrollment address
- 2975 S Rainbow Blvd
Suite a
Las Vegas, NV 89146-3710
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Family Home Healthcare Inc
- Overall star rating
- Ownership
- Proprietary
- Certified
- Nov 18, 2019
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
4535 W Sahara Ave
Ste 213
Las Vegas, NV 89102
Phone (702) 979-9927
Ownership & related parties
All disclosed owners & managing parties 4
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|---|---|---|
| Nora Iskandar | 5% Or Greater Direct Ownership Interest | Apr 30, 2025 | 25% |
| Corporate Officer | Mar 9, 2023 | 25% | |
| Corporate Director | Mar 9, 2023 | 25% | |
| W-2 Managing Employee | Mar 9, 2023 | 25% | |
| Camille Gonzales Galang | 5% Or Greater Direct Ownership Interest | Apr 30, 2025 | 25% |
| Corporate Officer | Apr 30, 2025 | 25% | |
| Corporate Director | Apr 30, 2025 | 25% | |
| W-2 Managing Employee | Apr 30, 2025 | 25% | |
| Gene J Mabasa | 5% Or Greater Direct Ownership Interest | Apr 30, 2025 | 25% |
| Corporate Officer | Mar 17, 2023 | 25% | |
| Corporate Director | Apr 30, 2025 | 25% | |
| W-2 Managing Employee | Mar 9, 2023 | 25% | |
| Michael Tadros | 5% Or Greater Direct Ownership Interest | Jan 1, 2025 | 25% |
| Corporate Officer | Mar 9, 2023 | 25% | |
| Corporate Director | Mar 9, 2023 | 25% | |
| W-2 Managing Employee | Mar 9, 2023 | 25% |
Practitioners & affiliated clinicians
Affiliated clinicians 5
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": "1566864000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738800000000",
"number": "1699323220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466597",
"telephone_number": "702-979-9927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2975 S RAINBOW BLVD STE A",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891466597",
"telephone_number": "702-979-9927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY HOME HEALTHCARE, INC",
"organizational_subpart": "NO",
"enumeration_date": "2019-08-27",
"last_updated": "2025-02-06",
"certification_date": "2025-02-06",
"status": "A",
"authorized_official_last_name": "MABASA",
"authorized_official_first_name": "GENE JOHN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "213-570-7160"
},
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2025; 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.