Active NPI
Meadows Home Health Services, LLC.
- Home Health Agency
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 5509HHA-0
- Legal business name
- MEADOWS HOME HEALTH SERVICES, LLC.
- Practice address
- 6438 S Tenaya Way
Suite 120
Las Vegas, NV 89113-6651 - Phone
- (702) 405-4415
- Fax
- (702) 405-4411
- NPI assigned
- May 13, 2009
- 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
- Mr. Christopher Traver, B.S. B.M.
- Title
- Manager
- Phone
- (702) 575-8862
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 5509HHA-0 | NV | Primary |
Addresses
Primary practice location
6438 S Tenaya Way
Suite 120
Las Vegas, NV 89113-6651
Mailing address
6438 S Tenaya Way Ste 120
Las Vegas, NV 89113-6651
Phone (702) 405-4415
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090709000616 | NV | Part A Provider - Home Health Agency | 9931251618 | Practice locations: Las Vegas, NV |
Home health agency certification: CCN 297176
- Legal name
- MEADOWS HOME HEALTH SERVICES, LLC.
- Certification status
- Active
- Provider type (POS)
- Home health agency
- Participating since
- Jan 13, 2010
- Last certification
- Nov 9, 2018
- Ownership / control type
- Proprietary
- Organization structure
- LLC
- Incorporated
- Sep 15, 2008 in NV
- Enrollment address
- 3750 S Jones Blvd
Ste 140
Las Vegas, NV 89103-2209
Care Compare: Home health agency
Medicare Care Compare- Listed as
- Meadows Home Health Services LLC
- Overall star rating
- Ownership
- Proprietary
- Certified
- Jan 13, 2010
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D1092097 | Meadows Home Health Services LLC | Certificate of waiver | Nov 16, 2026 |
National Provider Directory
National Provider DirectoryLocations
4550 W Oakey Blvd
Ste 100B
Las Vegas, NV 89102
Phone (725) 251-5700
6438 S Tenaya Way
Ste 120
Las Vegas, NV 89113
Phone (702) 405-4415
4550 W Oakey Blvd
#100B
Las Vegas, NV 89102
Phone (702) 405-4415
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 |
|---|---|---|---|
| Burton Tiongson | W-2 Managing Employee | Feb 12, 2014 | |
| Christoper T Traver | 5% Or Greater Direct Ownership Interest | Feb 19, 2024 | 67% |
| Arne G Roxas | 5% Or Greater Direct Ownership Interest | Feb 19, 2024 | 33% |
| Delsa a Dagalea | Operational/Managerial Control | May 18, 2011 |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1457581993
Affiliated clinicians 1
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": "1242172800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1708387200000",
"number": "1699909077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6438 S TENAYA WAY STE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891136651",
"telephone_number": "702-405-4415",
"fax_number": "702-405-4411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6438 S TENAYA WAY",
"address_2": "SUITE 120",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891136651",
"telephone_number": "702-405-4415",
"fax_number": "702-405-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEADOWS HOME HEALTH SERVICES, LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-13",
"last_updated": "2024-02-20",
"certification_date": "2024-02-20",
"status": "A",
"authorized_official_last_name": "TRAVER",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_title_or_position": "MANAGER",
"authorized_official_telephone_number": "702-575-8862",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "B.S. B.M."
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "5509HHA-0",
"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 20, 2024; 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.