Organization Active NPI

U R First, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1801044235
Registry record updated Mar 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
U R FIRST, LLC
Practice address
1022 E Sahara Ave
Las Vegas, NV 89104-3218
Phone
(702) 354-2617
Fax
(702) 896-5189
NPI assigned
Aug 27, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2024

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

Authorized official

Name
Mr. Mark Anthony Jackson
Title
President/Ceo
Phone
(702) 354-2617

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1022 E Sahara Ave
Las Vegas, NV 89104-3218

Mailing address

1022 E Sahara Ave
Las Vegas, NV 89104-3218
Phone (702) 354-2617

Other identifiers 1

IdentifierTypeStateIssuer
100555262MedicaidNV

Other names 1

  • U R FIRST HOME HEALTH Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080916000511 NV Part A Provider - Home Health Agency 5890862973 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297164

Legal name
U R FIRST, LLC
Doing business as
U R FIRST
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jun 7, 2009
Last certification
Mar 2, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 6, 2008 in NV
Enrollment address
8760 S Maryland Pkwy
Ste 112
Las Vegas, NV 89123-6709
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
U R First, LLCCCN 297164
Ownership
Proprietary
Certified
Jun 7, 2009
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
29D2073861U R First1022 E Sahara Ave, Las Vegas, NV 89104Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory
Tax ID family
U R First Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1022 E Sahara Ave
Las Vegas, NV 89104
Phone (702) 354-2617

8760 S Maryland Pkwy
Ste 112
Las Vegas, NV 89123
Phone (702) 354-2617

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
Mark a Jackson Individual 5% Or Greater Direct Ownership InterestOwner Jul 28, 2017 51%
W-2 Managing EmployeePresident/Administrator Jul 28, 2017 100%
Cassie E Williams Individual 5% Or Greater Direct Ownership InterestOwner Jul 28, 2017 49%

Practitioners & affiliated clinicians

Affiliated clinicians 1

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": "1219795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711670400000",
    "number": "1801044235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1022 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043218",
            "telephone_number": "702-354-2617",
            "fax_number": "702-896-5189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1022 E SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043218",
            "telephone_number": "702-354-2617",
            "fax_number": "702-896-5189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "U R FIRST, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-27",
        "last_updated": "2024-03-29",
        "certification_date": "2023-08-28",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "702-354-2617",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100555262",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "U R FIRST HOME HEALTH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.