Organization Active NPI

Precious Hearts Health Care Providers, LLC

  • Hospice Registered Nurse
  • Las Vegas, NV
National Provider Identifier
1851994560
Registry record updated Oct 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice Registered NurseTaxonomy code 163WH1000X
Legal business name
PRECIOUS HEARTS HEALTH CARE PROVIDERS, LLC
Practice address
6671 Las Vegas Blvd S Unit 210
Las Vegas, NV 89119-3289
Phone
(702) 473-5897
Fax
(702) 463-3137
NPI assigned
Nov 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2025

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

Authorized official

Name
Raul Gomez
Title
Administrator
Phone
(702) 473-5897

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hospice Registered NurseGroup: 193400000X SINGLE SPECIALTY GROUP 163WH1000X Primary

Addresses

Primary practice location

6671 Las Vegas Blvd S Unit 210
Las Vegas, NV 89119-3289

Mailing address

6671 Las Vegas Blvd S Unit 210
Las Vegas, NV 89119-3289
Phone (702) 473-5897

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL precioushearts.providers@gmail.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210217001849 NV Part A Provider - Hospice 9739594144 Practice locations: Las Vegas, NV

Hospice certification: CCN 291666

Legal name
PRECIOUS HEARTS HEALTH CARE PROVIDERS, LLC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 25, 2023
Last certification
Aug 3, 2023
Organization structure
LLCProprietary
Incorporated
Oct 19, 2020 in NV
Enrollment address
6671 Las Vegas Blvd S
Unit 210
Las Vegas, NV 89119-3289

Care Compare: Hospice

Medicare Care Compare
Listed as
Precious Hearts Health Care Providers LLCCCN 291666
Certified
Aug 25, 2023
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6525 W Warm Springs Rd
Ste 102
Las Vegas, NV 89118
Phone (702) 888-1712

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Arlene Rochalski Individual 5% Or Greater Direct Ownership Interest Sep 1, 2022 30%
5% Or Greater Mortgage Interest Sep 1, 2022 30%
5% Or Greater Security Interest Sep 1, 2022 30%
Corporate OfficerBoard Member/Owner Sep 1, 2022
W-2 Managing EmployeeBoard Member/Owner Sep 1, 2022
Nancy Tamin Sahagun Individual Contracted Managing Employee Dec 18, 2020
Corporate DirectorDirector of Patient Care Services Dec 18, 2020
Operational/Managerial ControlDirector of Patient Care Services Dec 18, 2020
Maria Fe Elnora T Lara Individual 5% Or Greater Direct Ownership Interest Sep 1, 2022 30%
5% Or Greater Mortgage Interest Sep 1, 2022 30%
5% Or Greater Security Interest Sep 1, 2022 30%
Corporate OfficerBoard Member/Owner/DPCS Sep 1, 2022
Corporate DirectorDPCS Sep 1, 2022
W-2 Managing EmployeeBoard Member/Owner Sep 1, 2022
Aurora C Gomez Individual 5% Or Greater Direct Ownership Interest Sep 1, 2022 30%
5% Or Greater Mortgage Interest Sep 1, 2022 30%
5% Or Greater Security Interest Sep 1, 2022 30%
Corporate OfficerBoard Member/Owner Sep 1, 2022
W-2 Managing EmployeeBoard Member/Owner Sep 1, 2022
Maria Theresa R Go Individual 5% Or Greater Direct Ownership Interest Sep 1, 2022 10%
5% Or Greater Mortgage Interest Sep 1, 2022 10%
5% Or Greater Security Interest Sep 1, 2022 10%
Corporate OfficerBoard Member/Owner/Operational/M Sep 1, 2022
W-2 Managing EmployeeBoard Member/Owner/Operational/M Sep 1, 2022
Operational/Managerial ControlBoard Member/Owner/Operational/M Sep 1, 2022 50%

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

Affiliated clinicians 2

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": "1605571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760313600000",
    "number": "1851994560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S UNIT 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193289",
            "telephone_number": "702-473-5897",
            "fax_number": "702-463-3173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6671 LAS VEGAS BLVD S UNIT 210",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891193289",
            "telephone_number": "702-473-5897",
            "fax_number": "702-463-3137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRECIOUS HEARTS HEALTH CARE PROVIDERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-17",
        "last_updated": "2025-10-13",
        "certification_date": "2025-10-13",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "RAUL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-473-5897"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Hospice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "precioushearts.providers@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Company Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "6671 Las Vegas Blvd S Unit 210",
            "city": "Las Vegas",
            "state": "NV",
            "country_code": "US",
            "postal_code": "891193289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.