Organization Active NPI

Mobile Home Health, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1750854451
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
MOBILE HOME HEALTH, INC.
Practice address
1771 E. Flamingo Rd.
Suite 230-a
Las Vegas, NV 89119-5279
Phone
(702) 209-2135
Fax
(702) 209-3504
NPI assigned
Jan 4, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Leah Parungao
Title
Administrator
Phone
(702) 290-1125

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1771 E. Flamingo Rd.
Suite 230-a
Las Vegas, NV 89119-5279

Mailing address

1771 E. Flamingo Rd.
Suite 230-a
Las Vegas, NV 89119-5279
Phone (702) 209-2135

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200403001779 NV Part A Provider - Home Health Agency 4880023357 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297270

Legal name
MOBILE HOME HEALTH INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 6, 2020
Last certification
Nov 6, 2020
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 6, 2017 in NV
Enrollment address
1771 E Flamingo Rd
Ste 230a
Las Vegas, NV 89119-0851

Care Compare: Home health agency

Medicare Care Compare
Listed as
Mobile Home Health, IncCCN 297270
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 6, 2020
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2204780Mobile Home Health Inc1771 E Flamingo Rd Ste 230-a, Las Vegas, NV 89119Certificate of waiverDec 9, 2026

National Provider Directory

National Provider Directory

Locations

1771 E Flamingo Rd
Ste 230A
Las Vegas, NV 89119
Phone (702) 209-2135

Ownership & related parties

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.

NameRoleSinceShare
Leah P Parungao Individual 5% Or Greater Direct Ownership Interest Jul 3, 2019 100%
Corporate OfficerCeo, Administrator Jul 3, 2019 100%
Corporate DirectorBoard of Director Jul 3, 2019 100%
W-2 Managing EmployeeAdministrator Jul 3, 2019
Operational/Managerial ControlCeo Jul 3, 2019

Practitioners & affiliated clinicians

Affiliated clinicians 5

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": "1546560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1750854451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1771 E. FLAMINGO RD.",
            "address_2": "SUITE 230-A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195279",
            "telephone_number": "702-209-2135",
            "fax_number": "702-209-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1771 E. FLAMINGO RD.",
            "address_2": "SUITE 230-A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891195279",
            "telephone_number": "702-209-2135",
            "fax_number": "702-209-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOBILE HOME HEALTH, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-04",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "PARUNGAO",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-290-1125"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "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.