NPIMap

Organization Active NPI

Harbor Hospice of Las Vegas LP

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1700238664
Registry record updated Apr 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HARBOR HOSPICE OF LAS VEGAS LP
Practice address
5575 S Durango Dr Ste 105
Las Vegas, NV 89113-1834
Phone
(702) 541-6273
Fax
(702) 541-8268
NPI assigned
Jul 5, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2021

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

Authorized official

Name
Karen K Carter
Title
Exec Admin Asst
Phone
(409) 730-2046

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5575 S Durango Dr Ste 105
Las Vegas, NV 89113-1834

Mailing address

3406 College St Ste 200
Beaumont, TX 77701-4612
Phone (409) 730-2022

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20171206002639 NV Part A Provider - Hospice 6901163559 Practice locations: Las Vegas, NV

Hospice certification: CCN 291559

Legal name
HARBOR HOSPICE OF LAS VEGAS LP
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 6, 2018
Last certification
Jan 5, 2022
Ownership / control type
Proprietary - Partnership
Organization structure
PartnershipProprietary
Incorporated
Jun 9, 2016 in NV
Enrollment address
5575 S Durango Dr
Ste 105
Las Vegas, NV 89113-1834

Care Compare: Hospice

Medicare Care Compare
Listed as
Harbor Hospice of Las Vegas, LPCCN 291559 · All quality measures
Ownership
For-Profit
Certified
Aug 6, 2018
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5575 S Durango Dr
Ste 105
Las Vegas, NV 89113
Phone (702) 541-6273

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
Karen Carter Individual W-2 Managing Employee Feb 1, 2019
Bryan Gaspard Individual Corporate OfficerChief Operations Officer Nov 13, 2017
Arfeen Properties, L.P. Organization, Beaumont, TX 5% Or Greater Direct Ownership Interest Nov 13, 2017 99%
Qamar U Arfeen Individual Corporate OfficerChief Executive Officer Nov 13, 2017

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 45

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 45

Practitioners & affiliated clinicians

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": "1467676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618272000000",
    "number": "1700238664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 COLLEGE ST STE 200",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014612",
            "telephone_number": "409-730-2022",
            "fax_number": "409-232-0573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5575 S DURANGO DR STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891131834",
            "telephone_number": "702-541-6273",
            "fax_number": "702-541-8268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARBOR HOSPICE OF LAS VEGAS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-05",
        "last_updated": "2021-04-13",
        "certification_date": "2021-04-13",
        "status": "A",
        "authorized_official_last_name": "CARTER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "EXEC ADMIN ASST",
        "authorized_official_telephone_number": "409-730-2046"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.