Reverent Hospice Care Inc

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

REVERENT HOSPICE CARE INC

Practice address

11500 S Eastern Ave Ste 150 Office 1523
Henderson, NV 89052

Phone

(702) 856-7447

NPI assigned

Jun 6, 2023

Last updated

Jun 6, 2023By 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

Aldrin Pagala

Title

Owner

Phone

(702) 856-7447

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 1699469247. Details of each certification follow.

• CCN 291682 Hospice · Active · Details

Hospice certification: CCN 291682

Legal name

REVERENT HOSPICE CARE INC

Certification status

Active

Provider type (POS)

Hospice

Participating since

Jul 15, 2024

Last certification

Jun 28, 2024

Organization structure

CorporationProprietary

Incorporated

Jun 5, 2023 in NV

Enrollment address

11500 S Eastern Ave
Ste 150
Henderson, NV 89052-5576

Listed as

Reverent Hospice Care IncCCN 291682 · All quality measures

Certified

Jul 15, 2024

Medicare certification status

ActiveFrom the Provider of Services file

All disclosed owners & managing parties 3

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.

• Miguel A Gonzalez, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1376525352

  Hospice

  Care Compare affiliation
• Ajay K. Nellutla, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Las Vegas, NV
  • NPI 1407913718

  Hospice

  Care Compare affiliation
• Madel Lumbres, M.D.

  • Internal Medicine Physician
  • New York, NY
  • NPI 1720353097

  Hospice

  Care Compare affiliation

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

{
    "created_epoch": "1686009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686009600000",
    "number": "1699469247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150 OFFICE 1523",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150 OFFICE 1523",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89052",
            "telephone_number": "702-856-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVERENT HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-06",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A",
        "authorized_official_last_name": "PAGALA",
        "authorized_official_first_name": "ALDRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-856-7447"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andres G Resto, MD
• Alais Reta, NBC-HWC
• Rethink Therapy, LLC
• Retina Consultants of Nevada LLP (Nevada Eye Physicians)
• Elissa Revels
• Revolution Health LLC
• Sydney Valentina Reyes Gonzalez
• Diana Denise Reyes
• Edrik Reyes
• Eliany Reyes

• Community Based Hospice Care Agency in Henderson, NV
• Providers in Henderson, 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 Jun 6, 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.