Home Health Services of Nevada LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

HOME HEALTH SERVICES OF NEVADA LLC

Practice address

3100 W Sahara Ave Ste 116
Las Vegas, NV 89102-6001

Phone

(702) 588-3428

Fax

(636) 212-9019

NPI assigned

Mar 23, 2022

Last updated

Mar 23, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erlene CudiamatNPI 1710690243

Title

Owner/President/Administrator

Phone

(702) 588-3428

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1750030920. Details of each certification follow.

• CCN 297363 Home health agency · Active · Details

Home health agency certification: CCN 297363

Legal name

HOME HEALTH SERVICES OF NEVADA LLC

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Dec 20, 2024

Last certification

Dec 10, 2024

Organization structure

LLCProprietary

Incorporated

Mar 21, 2022 in NV

Enrollment address

3100 W Sahara Ave
Ste 116
Las Vegas, NV 89102-6001

Listed as

Home Health Services of Nevada LLCCCN 297363 · All quality measures

Ownership

-

Certified

Dec 20, 2024

Medicare certification status

ActiveFrom the Provider of Services file

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

CLIA laboratory certificates

Locations

All disclosed owners & managing parties 1

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

Owners & managing parties with NPI records 1

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

• Erlene G Cudiamat, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1710690243

  5% Or Greater Direct Ownership Interest, Corporate Director, W-2 Managing Employee

  CMS ownership

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Erlene G Cudiamat, APRN

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1710690243
  NPD (past) Authorized official

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

• Linai Weathersby

  • Family Nurse Practitioner
  • Las Vegas, NV
  • NPI 1578448007

  Home health agency

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1647993600000",
    "number": "1750030920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 W SAHARA AVE STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026001",
            "telephone_number": "702-588-3428",
            "fax_number": "636-212-9019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W SAHARA AVE STE 116",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891026001",
            "telephone_number": "702-588-3428",
            "fax_number": "636-212-9019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOME HEALTH SERVICES OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A",
        "authorized_official_last_name": "CUDIAMAT",
        "authorized_official_first_name": "ERLENE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-588-3428"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Home Health Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.

Verify at the official NPI Registry.