NPIMap

Organization Active NPI

Comprehensive Health Service LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1811322357
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
COMPREHENSIVE HEALTH SERVICE LLC
Practice address
2330 Paseo del Prado Ste C202
Las Vegas, NV 89102-4376
Phone
(702) 489-9355
Fax
(702) 413-6333
NPI assigned
Sep 3, 2013
Last updated
Oct 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2020

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

Authorized official

Name
Demetrio Encabo Jr.
Title
Administrator
Phone
(702) 489-9355

Specialties & licenses 1

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

Addresses

Primary practice location

2330 Paseo del Prado Ste C202
Las Vegas, NV 89102-4376

Mailing address

2330 Paseo del Prado
Suite C308
Las Vegas, NV 89102-4359
Phone (702) 489-9355

Other identifiers 1

IdentifierTypeStateIssuer
100556996MedicaidNV

Other names 1

  • CHS, LLC Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dencabo@chsvisit.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20150922001740 NV Part A Provider - Home Health Agency 0345557492 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1811322357. Details of each certification follow.

Home health agency certification: CCN 297225

Legal name
COMPREHENSIVE HEALTH SERVICE LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 10, 2017
Last certification
Feb 27, 2020
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Sep 12, 2012 in NV
Enrollment address
2330 Paseo del Prado
Ste C202
Las Vegas, NV 89102-4376

Care Compare: Home health agency

Medicare Care Compare
Listed as
Comprehensive Health Service, LLCCCN 297225 · All quality measures
Overall star rating
2 of 5
Ownership
Proprietary
Certified
May 10, 2017
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
29D2122121Comprehensive Health Service LLC2330 Paseo del Prado Ste C202, Las Vegas, NV 89102Certificate of waiverNov 20, 2026

National Provider Directory

National Provider Directory

Locations

2330 Paseo del Prado
Ste C202
Las Vegas, NV 89102
Phone (702) 489-9355

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Fenina Encabo Individual 5% Or Greater Direct Ownership InterestDirector of Clinical Services Sep 12, 2012 33.33%
Corporate DirectorDirector of Clinical Services Sep 12, 2012 33.33%
Operational/Managerial ControlDirector of Clinical Services Sep 12, 2012 33.33%
Luzviminda Alexander Individual 5% Or Greater Direct Ownership InterestDirector of HRD and Finance Sep 12, 2012 33.33%
Corporate DirectorDirector of HRD and Finance Sep 12, 2012 33.33%
Operational/Managerial ControlDirector of HRD and Finance Sep 12, 2012 33.33%
Demetrio Encabo Jr Individual 5% Or Greater Direct Ownership InterestDirector of Operations Sep 12, 2012 33.33%
Corporate DirectorDirector of Operations Sep 12, 2012 33.33%
Operational/Managerial Control Sep 12, 2012 33.33%

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 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.

Affiliated clinicians 14

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1378166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1811322357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO",
            "address_2": "SUITE C308",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024359",
            "telephone_number": "702-489-9355",
            "fax_number": "702-413-6333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2330 PASEO DEL PRADO STE C202",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891024376",
            "telephone_number": "702-489-9355",
            "fax_number": "702-413-6333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPREHENSIVE HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-03",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "ENCABO",
        "authorized_official_first_name": "DEMETRIO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-489-9355",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100556996",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dencabo@chsvisit.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2330 Paseo Del Prado Ste C202",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891024376",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CHS, LLC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "CHS, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.