Active NPI
Haloes Touch Hospice Inc
- Community Based Hospice Care Agency
- Henderson, NV
National Provider Identifier
1740913037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Inc
- Certified
- Apr 11, 2024
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryOwnership & 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 |
|---|---|---|---|
| Evangeline de Mata | 5% Or Greater Direct Ownership Interest | Jul 5, 2022 | 50% |
| Corporate Officer | Jul 5, 2022 | 50% | |
| Corporate Director | Jul 5, 2022 | 50% | |
| W-2 Managing Employee | Jul 5, 2022 | 50% | |
| Aldrin a Pagala | 5% Or Greater Direct Ownership Interest | Jul 5, 2022 | 50% |
| Corporate Officer | Jul 5, 2022 | 50% | |
| Corporate Director | Jul 5, 2022 | 50% | |
| W-2 Managing Employee | Jul 5, 2022 | 50% | |
| Ashley Villamor Kelley | Contracted Managing Employee | Oct 1, 2025 | |
| Marivic Eleno | W-2 Managing Employee | 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.
-
- Internal Medicine Physician
- Las Vegas, NV
- NPI 1205929320
Contracted Managing Employee
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.