Organization Active NPI

Sunset Haven Hospice Care LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1730835141
Registry record updated Oct 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SUNSET HAVEN HOSPICE CARE LLC
Practice address
6272 Spring Mountain Rd Ste 100
Las Vegas, NV 89146-8876
Phone
(702) 499-7848
Fax
(725) 235-7488
NPI assigned
Feb 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2024

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

Authorized official

Name
Carlos Miguel Robledo
Title
Treasurer
Phone
(702) 881-5487

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary
Inpatient Hospice 315D00000X

Addresses

Primary practice location

6272 Spring Mountain Rd Ste 100
Las Vegas, NV 89146-8876

Mailing address

6272 Spring Mountain Rd Ste 100
Las Vegas, NV 89146-8876
Phone (702) 499-7848

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220415000018 NV Part A Provider - Hospice 3678969805 Practice locations: Las Vegas, NV

Hospice certification: CCN 291631

Legal name
SUNSET HAVEN HOSPICE CARE LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Jan 31, 2023
Last certification
Jan 10, 2023
Organization structure
LLCProprietary
Incorporated
Feb 22, 2021 in NV
Enrollment address
6272 Spring Mountain Rd
Ste 100
Las Vegas, NV 89146-8876

Care Compare: Hospice

Medicare Care Compare
Listed as
Sunset Haven Hospice Care LLCCCN 291631
Certified
Jan 31, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6272 Spring Mountain Rd
Ste 100
Las Vegas, NV 89146
Phone (702) 499-7848

6268 Spring Mountain Rd
Ste 105C
Las Vegas, NV 89146
Phone (702) 499-7848

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Angelito J Dionisio Individual Contracted Managing EmployeeMD; Jul 28, 2023
Wilbert F Ching Individual Contracted Managing EmployeeMD; Jul 1, 2024
Carlos Robledo Individual 5% Or Greater Direct Ownership Interest Feb 22, 2021 40%
Corporate Officer Feb 22, 2021
W-2 Managing EmployeeTreasurer Feb 21, 2021 40%
Crisalie Joy Kerr Individual 5% Or Greater Direct Ownership Interest Feb 21, 2021 30%
Corporate OfficerAdministrator Feb 21, 2021 30%
W-2 Managing EmployeeAd; Feb 21, 2021 30%
Joana Karla Garcia Individual 5% Or Greater Direct Ownership Interest Feb 22, 2021 30%
Corporate Director Feb 22, 2021
W-2 Managing EmployeePresident Feb 21, 2021 30%

Owners & managing parties with NPI records 2

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

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": "1645660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1730835141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 SPRING MOUNTAIN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468876",
            "telephone_number": "702-499-7848",
            "fax_number": "725-235-7488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 SPRING MOUNTAIN RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468876",
            "telephone_number": "702-499-7848",
            "fax_number": "725-235-7488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUNSET HAVEN HOSPICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-24",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "ROBLEDO",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "MIGUEL",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "702-881-5487"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "315D00000X",
            "taxonomy_group": "",
            "desc": "Hospice, Inpatient",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.