Organization Active NPI

Meadows Home Health Services, LLC.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1699909077
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
5509HHA-0 Issued in NV
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

Updated by the provider on Feb 20, 2024

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)CodeLicenseStatePrimary
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 IDStateProvider typePAC IDDetails
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
LLCProprietary
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 LLCCCN 297176 · All quality measures
Overall star rating
3 of 5
Ownership
Proprietary
Certified
Jan 13, 2010
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1092097Meadows Home Health Services LLC6438 S Tenaya Way Ste 120, Las Vegas, NV 89113Certificate of waiverNov 16, 2026

National Provider Directory

National Provider Directory

Locations

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.

NameRoleSinceShare
Burton Tiongson Individual W-2 Managing EmployeeAd; Feb 12, 2014
Christoper T Traver Individual 5% Or Greater Direct Ownership InterestCeo Feb 19, 2024 67%
Arne G Roxas Individual 5% Or Greater Direct Ownership Interest Feb 19, 2024 33%
Delsa a Dagalea Individual Operational/Managerial ControlAdministrator 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.

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

Verify at the official NPI Registry.