Organization Active NPI

Clark County Home Health Services LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1770142499
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CLARK COUNTY HOME HEALTH SERVICES LLC
Practice address
1516 E Tropicana Ave Ste 199
Las Vegas, NV 89119-8323
Phone
(725) 214-7776
Fax
(725) 214-7768
NPI assigned
Jun 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Authorized official

Name
Juanita SmithNPI 1265992150
Title
Owner
Phone
(725) 214-7775

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1516 E Tropicana Ave Ste 199
Las Vegas, NV 89119-8323

Mailing address

1516 E Tropicana Ave Ste 199
Las Vegas, NV 89119-8323
Phone (725) 214-7776

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201105000618 NV Part A Provider - Home Health Agency 2163832908 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297314

Legal name
CLARK COUNTY HOME HEALTH SERVICES LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Dec 17, 2021
Last certification
Dec 17, 2021
Organization structure
LLCProprietary
Incorporated
Apr 11, 2019 in NV
Enrollment address
1516 E Tropicana Ave
Ste 199
Las Vegas, NV 89119-8323

Care Compare: Home health agency

Medicare Care Compare
Listed as
Clark County Home Health Services LLCCCN 297314 ยท All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
Dec 17, 2021
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

1516 E Tropicana Ave
Ste 199
Las Vegas, NV 89119
Phone (725) 214-7775

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Thomas Harris Individual 5% Or Greater Direct Ownership Interest Apr 11, 2019 10%
Corporate DirectorOwner, Board Member, Vice Presid Apr 11, 2019 25%
W-2 Managing EmployeeOwner, Board Member, Vice Presid Apr 11, 2019 50%
Juanita Smith Individual 5% Or Greater Direct Ownership Interest Apr 11, 2019 90%
Corporate DirectorPresident, Treasurer,Secretary Apr 11, 2019 90%

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1559779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603670400000",
    "number": "1770142499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 199",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198323",
            "telephone_number": "725-214-7776",
            "fax_number": "725-214-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1516 E TROPICANA AVE STE 199",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891198323",
            "telephone_number": "725-214-7776",
            "fax_number": "725-214-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARK COUNTY HOME HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-06",
        "last_updated": "2020-10-26",
        "certification_date": "2020-10-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "JUANITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "725-214-7775"
    },
    "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.