Organization Active NPI

Haloes Touch Hospice Inc

  • Community Based Hospice Care Agency
  • Henderson, NV
National Provider Identifier
1740913037
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
HALOES TOUCH HOSPICE INC
Practice address
11500 S Eastern Ave Ste 150 Office 1509
Henderson, NV 89052-5576
Phone
(702) 820-4462
NPI assigned
Jul 5, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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) 820-4462

Specialties & licenses 1

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

Addresses

Primary practice location

11500 S Eastern Ave Ste 150 Office 1509
Henderson, NV 89052-5576

Mailing address

11500 S Eastern Ave Ste 150 Office 1509
Henderson, NV 89052-5576

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230328001908 NV Part A Provider - Hospice 6608240965 Practice locations: Henderson, NV

Hospice certification: CCN 291680

Legal name
HALOES TOUCH HOSPICE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Apr 11, 2024
Last certification
Apr 5, 2024
Organization structure
CorporationProprietary
Incorporated
Jul 5, 2022 in NV
Enrollment address
11500 S Eastern Ave Ste 150
Office 1509
Henderson, NV 89052

Care Compare: Hospice

Medicare Care Compare
Listed as
Haloes Touch Hospice IncCCN 291680
Certified
Apr 11, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

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
Evangeline de Mata Individual 5% Or Greater Direct Ownership InterestCfo/Owner Jul 5, 2022 50%
Corporate OfficerCfo/Owner Jul 5, 2022 50%
Corporate DirectorCfo/Owner Jul 5, 2022 50%
W-2 Managing EmployeeCfo/Owner Jul 5, 2022 50%
Aldrin a Pagala Individual 5% Or Greater Direct Ownership InterestCeo/Owner Jul 5, 2022 50%
Corporate OfficerCeo/Owner Jul 5, 2022 50%
Corporate DirectorCeo/Owner Jul 5, 2022 50%
W-2 Managing EmployeeCeo/Owner Jul 5, 2022 50%
Ashley Villamor Kelley Individual Contracted Managing EmployeeMD; Oct 1, 2025
Marivic Eleno Individual W-2 Managing EmployeeAd; Aug 1, 2024 50%

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Affiliated clinicians 2

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": "1656979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1740913037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150 OFFICE 1509",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11500 S EASTERN AVE STE 150 OFFICE 1509",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890525576",
            "telephone_number": "702-820-4462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALOES TOUCH HOSPICE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-05",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "PAGALA",
        "authorized_official_first_name": "ALDRIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-820-4462"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.