Organization Active NPI

Unimed Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1770353328
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
UNIMED HOME HEALTH LLC
Practice address
6272 Spring Mountain Rd Ste 105
Las Vegas, NV 89146-8876
Phone
(702) 769-8833
Fax
(702) 748-8326
NPI assigned
Jan 4, 2024
Last updated
Jan 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Mr. Oscar Jay Bustamante
Title
President
Phone
(702) 722-7609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

6272 Spring Mountain Rd Ste 105
Las Vegas, NV 89146-8876

Mailing address

6272 Spring Mountain Rd Ste 105
Las Vegas, NV 89146-8876
Phone (702) 769-8833

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240402002131 NV Part A Provider - Home Health Agency 7810335437 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1770353328. Details of each certification follow.

Home health agency certification: CCN 297348

Legal name
UNIMED HOME HEALTH LLC
Doing business as
UNIMED HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 18, 2024
Last certification
Jul 11, 2024
Organization structure
LLCProprietary
Incorporated
Aug 10, 2022 in NV
Enrollment address
6272 Spring Mountain Rd
Ste 105
Las Vegas, NV 89146-8876

Care Compare: Home health agency

Medicare Care Compare
Listed as
Unimed Home HealthCCN 297348 · All quality measures
Overall star rating
2.5 of 5
Ownership
-
Certified
Jul 18, 2024
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6272 Spring Mountain Rd
Ste 105
Las Vegas, NV 89146
Phone (702) 769-8833

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
Oscar Jay Bustamante Individual 5% Or Greater Direct Ownership InterestPresident Aug 10, 2022 100%
W-2 Managing Employee Aug 10, 2022
Operational/Managerial Control Aug 10, 2022 100%

Practitioners & affiliated clinicians

Affiliated clinicians 6

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": "1704326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1770353328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6272 SPRING MOUNTAIN RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468876",
            "telephone_number": "702-769-8833",
            "fax_number": "702-748-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6272 SPRING MOUNTAIN RD STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468876",
            "telephone_number": "702-769-8833",
            "fax_number": "702-748-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIMED HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-04",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "BUSTAMANTE",
        "authorized_official_first_name": "OSCAR JAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-722-7609",
        "authorized_official_name_prefix": "Mr."
    },
    "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.