Active NPI
Precious Hearts Health Care Providers, LLC
- Hospice Registered Nurse
- Las Vegas, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | precioushearts.providers@gmail.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 LLC
- Certified
- Aug 25, 2023
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Arlene Rochalski | 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 Officer | Sep 1, 2022 | ||
| W-2 Managing Employee | Sep 1, 2022 | ||
| Nancy Tamin Sahagun | Contracted Managing Employee | Dec 18, 2020 | |
| Corporate Director | Dec 18, 2020 | ||
| Operational/Managerial Control | Dec 18, 2020 | ||
| Maria Fe Elnora T Lara | 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 Officer | Sep 1, 2022 | ||
| Corporate Director | Sep 1, 2022 | ||
| W-2 Managing Employee | Sep 1, 2022 | ||
| Aurora C Gomez | 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 Officer | Sep 1, 2022 | ||
| W-2 Managing Employee | Sep 1, 2022 | ||
| Maria Theresa R Go | 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 Officer | Sep 1, 2022 | ||
| W-2 Managing Employee | Sep 1, 2022 | ||
| Operational/Managerial Control | 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.
-
- Family Nurse Practitioner
- Las Vegas, NV
- NPI 1568930972
Contracted Managing Employee, Corporate Director, Operational/Managerial Control
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2025; 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.