Angel's Palm LLC

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

ANGEL'S PALM LLC

Doing business as

Angel's Palm Hospice Care

Practice address

8683 W Sahara Ave Ste 220
Las Vegas, NV 89117-5884

Phone

(702) 772-2507

Fax

(702) 268-7078

NPI assigned

Aug 17, 2023

Last updated

Sep 26, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

ANGEL'S PALM LLCAs reported in NPPES

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

Authorized official

Name

Roman Caballero

Title

Administrator

Phone

(702) 350-9013

Specialties & licenses 1

Addresses

Other names 1

• Angel's Palm Hospice Care Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1831972256. Details of each certification follow.

• CCN 291714 Hospice · Active · Details

Hospice certification: CCN 291714

Legal name

ANGELS PALM LLC

Doing business as

ANGELS PALM HOSPICE CARE

Certification status

Active

Provider type (POS)

Hospice

Participating since

May 29, 2025

Last certification

May 15, 2025

Organization structure

LLCProprietary

Enrollment address

8683 W Sahara Ave
Ste 220
Las Vegas, NV 89117-5884

Listed as

Angel's Palm Hospice CareCCN 291714 · All quality measures

Certified

May 29, 2025

Medicare certification status

ActiveFrom the Provider of Services file

Part of

Angels Palm LLC

Locations

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.

Owners & managing parties with NPI records 1

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

• Chukwuemeka O Iroha, MD

  • Internal Medicine Physician
  • Las Vegas, NV
  • NPI 1619942554

  Contracted Managing Employee

  CMS ownership

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.

• Jeartha Joy Caballero, RN

  • Emergency Registered Nurse
  • Las Vegas, NV
  • NPI 1770967630
  NPD

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

{
    "created_epoch": "1692230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1831972256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8683 W SAHARA AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175884",
            "telephone_number": "702-772-2507",
            "fax_number": "702-268-7078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8683 W SAHARA AVE STE 220",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891175884",
            "telephone_number": "702-772-2507",
            "fax_number": "702-268-7078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S PALM LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGEL'S PALM LLC",
        "enumeration_date": "2023-08-17",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "CABALLERO",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-350-9013"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel's Palm Hospice Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community Based Hospice Care Agency in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Community Based Hospice Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.