Organization Active NPI

Sky Hospice Care Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1801461850
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
SKY HOSPICE CARE INC
Practice address
1500 E Tropicana Ave Ste 121
Las Vegas, NV 89119-6516
Phone
(702) 848-2993
NPI assigned
May 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Authorized official

Name
Aedam Gaiser
Title
Ceo
Phone
(702) 848-2993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

1500 E Tropicana Ave Ste 121
Las Vegas, NV 89119-6516

Mailing address

1500 E Tropicana Ave Ste 121
Las Vegas, NV 89119-6516

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210805000626 NV Part A Provider - Hospice 9032513510 Practice locations: Las Vegas, NV

Hospice certification: CCN 291616

Legal name
SKY HOSPICE CARE INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 4, 2022
Last certification
Aug 4, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
May 31, 2021 in NV
Enrollment address
1500 E Tropicana Ave
Ste 121
Las Vegas, NV 89119-6516

Care Compare: Hospice

Medicare Care Compare
Listed as
Sky Hospice Care IncCCN 291616
Ownership
For-Profit
Certified
Aug 4, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

2850 W Horizon Ridge Pkwy
Ste 254
Henderson, NV 89052
Phone (702) 848-2993

2850 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone (702) 605-7018

2850 W Horizon Ridge Pkwy
#200254
Henderson, NV 89052

1500 E Tropicana Ave
Ste 121
Las Vegas, NV 89119
Phone (702) 724-7153

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
Wilbert F Ching Individual W-2 Managing EmployeeMedical Director Jan 1, 2024
Aedam Gaiser Individual 5% Or Greater Direct Ownership InterestCeo Mar 17, 2023 100%
Corporate OfficerCeo Mar 17, 2023 100%
Corporate DirectorBoard Member Mar 17, 2023 100%
W-2 Managing EmployeeAdministrator Mar 17, 2023 100%
Operational/Managerial ControlCeo Mar 17, 2023 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

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": "1621641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1684195200000",
    "number": "1801461850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E TROPICANA AVE STE 121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E TROPICANA AVE STE 121",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891196516",
            "telephone_number": "702-848-2993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SKY HOSPICE CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-22",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A",
        "authorized_official_last_name": "GAISER",
        "authorized_official_first_name": "AEDAM",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-848-2993"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "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.