Organization Active NPI

Gentle Care Hospice & Homehealth LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1831894922
Registry record updated Mar 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
GENTLE CARE HOSPICE & HOMEHEALTH LLC
Practice address
8689 W Sahara Ave
Las Vegas, NV 89117-5870
Phone
(702) 462-5181
NPI assigned
Mar 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2023

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

Authorized official

Name
Mrs. Citadel Chavez, RNNPI 1154806545
Title
Ceo
Phone
(559) 355-8956

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
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

8689 W Sahara Ave
Las Vegas, NV 89117-5870

Mailing address

2055 Bedford Ave
Clovis, CA 93611-8117
Phone (559) 355-8956

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240102000606 NV Part A Provider - Hospice 1658721766 Practice locations: Las Vegas, NV

Hospice certification: CCN 291684

Legal name
GENTLE CARE HOSPICE & HOMEHEALTH LLC
Doing business as
GENTLE CARE HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 8, 2024
Last certification
Jul 25, 2024
Organization structure
LLCProprietary
Enrollment address
8689 W Sahara Ave
Ste 140
Las Vegas, NV 89117-5871

Care Compare: Hospice

Medicare Care Compare
Listed as
Gentle Care HospiceCCN 291684
Certified
Aug 8, 2024
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
29D2305216Gentle Care Hospice8689 W Sahara Avenue Suite 140, Las Vegas, NV 89117Certificate of waiverMay 27, 2028

National Provider Directory

National Provider Directory

Locations

8689 W Sahara Ave
Ste 140
Las Vegas, NV 89117
Phone (702) 462-5181

8689 W Sahara Ave
Las Vegas, NV 89117
Phone (702) 330-5665

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
Robby Ann Sembrano Quintos Individual Contracted Managing EmployeeMedical Director Oct 1, 2023 100%
Tadeo Ivan Chavez Individual Contracted Managing EmployeeCfo Dec 1, 2022
Citadel M Chavez Individual 5% Or Greater Direct Ownership InterestCeo Nov 29, 2022 100%
W-2 Managing EmployeeAd; May 2, 2024 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": "1680134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680134400000",
    "number": "1831894922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2055 BEDFORD AVE",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936118117",
            "telephone_number": "559-355-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8689 W SAHARA AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175870",
            "telephone_number": "702-462-5181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE HOSPICE & HOMEHEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-30",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "CITADEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "559-355-8956",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "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.