NPIMap

Organization Active NPI

Ampm Home Health, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1831841063
Registry record updated May 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMPM HOME HEALTH, LLC
Practice address
1640 E Sahara Ave Ste a
Las Vegas, NV 89104-3491
Phone
(725) 301-6617
Fax
(702) 537-9104
NPI assigned
Jan 19, 2022
Last updated
May 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 9, 2024

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

Authorized official

Name
Claudia Y NunezNPI 1376805846
Title
Administrator
Phone
(702) 822-2655

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

1640 E Sahara Ave Ste a
Las Vegas, NV 89104-3491

Mailing address

1640 E Sahara Ave Ste a
Las Vegas, NV 89104-3491
Phone (725) 301-6617

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220316000292 NV Part A Provider - Home Health Agency 6709271497 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831841063. Details of each certification follow.

Home health agency certification: CCN 297333

Legal name
AMPM HOME HEALTH LLC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
May 1, 2023
Last certification
Apr 7, 2023
Organization structure
LLCProprietary
Incorporated
Feb 23, 2021 in NV
Enrollment address
1640 E Sahara Ave
Ste a
Las Vegas, NV 89104-3491

Care Compare: Home health agency

Medicare Care Compare
Listed as
Ampm Home Health LLCCCN 297333 · All quality measures
Overall star rating
2 of 5
Ownership
-
Certified
May 1, 2023
Medicare certification status
ActiveFrom the Provider of Services file

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
29D2253976Ampm Home Health LLC1640 E Sahara Ave Suite a, Las Vegas, NV 89104Certificate of waiverFeb 24, 2028

National Provider Directory

National Provider Directory

Locations

1640 E Sahara Ave
Ste A
Las Vegas, NV 89104
Phone (725) 301-6617

820 Rancho Ln
Ste 25
Las Vegas, NV 89106
Phone (702) 822-2655

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
Claudia Nunez Individual 5% Or Greater Direct Ownership Interest Feb 23, 2021 90%
Corporate Director Feb 23, 2021 90%
W-2 Managing Employee Feb 23, 2021 90%
Operational/Managerial Control Jan 18, 2022 90%
Gabriela Torres Individual 5% Or Greater Direct Ownership Interest Feb 23, 2021 5%
Corporate Director Feb 23, 2021 5%
W-2 Managing Employee Feb 23, 2021 5%
Operational/Managerial Control Feb 23, 2021 5%
Rosa Pupo Individual 5% Or Greater Direct Ownership Interest Feb 23, 2021 5%
Corporate Director Feb 23, 2021 5%
W-2 Managing Employee Feb 23, 2021 5%
Operational/Managerial Control Feb 23, 2021 5%

Practitioners & affiliated clinicians

Practitioners 1

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 5

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": "1642550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715212800000",
    "number": "1831841063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 E SAHARA AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043491",
            "telephone_number": "725-301-6617",
            "fax_number": "702-537-9104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 E SAHARA AVE STE A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891043491",
            "telephone_number": "725-301-6617",
            "fax_number": "702-537-9104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMPM HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-19",
        "last_updated": "2024-05-09",
        "certification_date": "2024-05-09",
        "status": "A",
        "authorized_official_last_name": "NUNEZ",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "Y",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-822-2655"
    },
    "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

Verify at the official NPI Registry.