Angel'S Palm LLC
Organization Active NPI Community Based Hospice Care Agency · Las Vegas, NV
NPI 1831972256 · NPPES record last updated Sep 26, 2023
Key facts
- NPI
- 1831972256
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community Based Hospice Care Agency 251G00000X
- Legal business name
- ANGEL'S PALM LLC
- 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
- Organization subpart
- Yes
- Parent organization (as reported)
- ANGEL'S PALM LLC
Authorized official
- Name
- Roman Caballero
- Title
- Administrator
- Phone
- (702) 350-9013
Owners & managing parties with NPI records 1
Practitioners 1
Medicare Care Compare: Hospice
- Listed as
- Angel'S Palm Hospice Care
- Certified
- May 29, 2025
- Medicare certification status
- Active
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NV
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
- LLC · Proprietary
- Enrollment address
- 8683 W Sahara Ave
Ste 220
Las Vegas, NV 89117-5884
All disclosed owners & managing parties 3
| Name | Role | Since | Share |
|---|---|---|---|
| Roman Caballero |
5% Or Greater Direct Ownership Interest |
Nov 22, 2022 | 100% |
| 5% Or Greater Security Interest |
Nov 22, 2022 | 100% | |
| Corporate Officer |
Nov 22, 2022 | 100% | |
| Corporate Director |
Nov 22, 2022 | 100% | |
| W-2 Managing Employee |
Nov 22, 2022 | 100% | |
| Jeartha Caballero |
Corporate Officer |
Dec 1, 2022 | |
| Corporate Director |
Dec 1, 2022 | ||
| W-2 Managing Employee |
Dec 1, 2022 | ||
| Chukwuemeka O Iroha |
Contracted Managing Employee |
Oct 31, 2025 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240930001771 | NV | Part a Provider - Hospice | 8426589680 | Practice locations: Las Vegas, NV |
National Provider Directory
- Part of
- Angels Palm LLC
Locations
8683 W Sahara Ave
Ste 220
Las Vegas, NV 89117
Phone (702) 369-3338
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Based Hospice Care Agency | 251G00000X | Yes |
Addresses
Primary practice location
8683 W Sahara Ave Ste 220
Las Vegas, NV 89117-5884
Mailing address
8683 W Sahara Ave Ste 220
Las Vegas, NV 89117-5884
Phone (702) 772-2507
Other names
- Angel's Palm Hospice Care
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- Angel'S Arms LLC
- Angel'S Hope Home Health
- Angel'S of Joy Home Health, LLC
- Angel'S Touch Home Care LLC
- Angel'S Touch Home Care LLC
- Angel'S Touch Home Health Care Inc.
- Angel'S Touch Home Health Care Inc.
- Angel'S Touch Rehabilitation Services
All providers in Las Vegas, NV · Community Based Hospice Care Agency in Nevada
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.