NPIMap

Organization Active NPI

Hill Care LLC

  • Family Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1871291872
Registry record updated Oct 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HILL CARE LLC
Practice address
2575 S Cimarron Rd Ste 104
Las Vegas, NV 89117-2682
Phone
(725) 712-4625
Fax
(725) 262-5536
NPI assigned
Feb 20, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2025

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

Authorized official

Name
Ebony Shandreka PetersonNPI 1396293841
Title
NP
Phone
(725) 712-4625

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X

Addresses

Primary practice location

2575 S Cimarron Rd Ste 104
Las Vegas, NV 89117-2682

Mailing address

2575 S Cimarron Rd Ste 104
Las Vegas, NV 89117-2682
Phone (725) 712-4625

Other names 1

  • Hill Care Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240910002829 NV Part B Supplier - Clinic/Group Practice 6507306198 Receives reassigned benefits from 3 practitioners
Practice locations: North Las Vegas, NV; Las Vegas, NV

National Provider Directory

National Provider Directory
Tax ID family
Hill Care Health2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

  • Hill Care LLC
    • Mental Health Clinic/Center (Including Community Mental Health Center)
    • Las Vegas, NV
    • NPI 1457244295
    NPD tax ID

Locations

3620 N Rancho Dr
Ste 103104
Las Vegas, NV 89130
Phone (725) 712-4625

4904 Camino Al Norte
Unit 335661
North Las Vegas, NV 89033

5135 Camino Al Norte
Ste 262
North Las Vegas, NV 89031
Phone (702) 765-5000

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761264000000",
    "number": "1871291872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 S CIMARRON RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172682",
            "telephone_number": "725-712-4625",
            "fax_number": "725-262-5536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 S CIMARRON RD STE 104",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891172682",
            "telephone_number": "725-712-4625",
            "fax_number": "725-262-5536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "EBONY",
        "authorized_official_middle_name": "SHANDREKA",
        "authorized_official_title_or_position": "NP",
        "authorized_official_telephone_number": "725-712-4625"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hill Care Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.