Organization Active NPI

Crest Valley Home Health LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1770392995
Registry record updated Jan 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
CREST VALLEY HOME HEALTH LLC
Practice address
2626 S Rainbow Blvd Ste 203E
Las Vegas, NV 89146-4005
Phone
(702) 377-5810
NPI assigned
Jan 2, 2025
Last updated
Jan 2, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2025

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

Authorized official

Name
Demetrio Flores
Title
Managing Member
Phone
(702) 377-5810

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2626 S Rainbow Blvd Ste 203E
Las Vegas, NV 89146-4005

Mailing address

2626 S Rainbow Blvd Ste 203E
Las Vegas, NV 89146-4005
Phone (702) 377-5810

National Provider Directory

National Provider Directory

Locations

2626 S Rainbow Blvd
Ste 203E
Las Vegas, NV 89146
Phone (702) 377-5810

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1735776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1735776000000",
    "number": "1770392995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2626 S RAINBOW BLVD STE 203E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464005",
            "telephone_number": "702-377-5810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2626 S RAINBOW BLVD STE 203E",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891464005",
            "telephone_number": "702-377-5810"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREST VALLEY HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-02",
        "last_updated": "2025-01-02",
        "certification_date": "2025-01-02",
        "status": "A",
        "authorized_official_last_name": "FLORES",
        "authorized_official_first_name": "DEMETRIO",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "702-377-5810"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.