NPIMap

Organization Active NPI

Humangood Nevada

Doing business as Las Ventanas Retirement Community

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1871674879
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4529SNF-15 Issued in NV
Legal business name
HUMANGOOD NEVADA
Doing business as
Las Ventanas Retirement Community
Practice address
10401 W Charleston Blvd
Las Vegas, NV 89135
Phone
(702) 207-4201
Fax
(702) 360-8643
NPI assigned
Oct 17, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Authorized official

Name
Gwen Vangelisto
Title
Director of Accounts Receivable
Phone
(949) 463-0893

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4529SNF-0 NV
Skilled Nursing Facility 314000000X 4529SNF-15 NV Primary

Addresses

Primary practice location

10401 W Charleston Blvd
Las Vegas, NV 89135

Mailing address

1900 Huntington Dr
Duarte, CA 91010-2694
Phone (818) 247-0420

Other names 1

  • Las Ventanas Retirement Community Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20061023000314 NV Part A Provider - Skilled Nursing Facility 1951308600 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1871674879. Details of each certification follow.

Skilled nursing facility certification: CCN 295086

Legal name
HUMANGOOD NEVADA
Doing business as
LAS VENTANAS RETIREMENT COMMUNITY
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Apr 6, 2007
Last certification
Jun 27, 2025
Beds
60
Ownership / control type
Nonprofit Corporation
Multi-facility organization
HUMANGOOD
Organization structure
CorporationNon-profit
Enrollment address
10401 W Charleston Blvd
Las Vegas, NV 89135-1151
Nursing home name
LAS VENTANAS RETIREMENT COMM SNF
Affiliated entity
HUMANGOOD

Care Compare: Nursing home

Medicare Care Compare
Listed as
Las Ventanas Retirement Comm SNFCCN 295086 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Apr 6, 2007
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
6056.2 residents per day on average
Chain
Humangood17 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1050861Las Ventanas Retirement Community-SNF10401 W Charleston Blvd, Las Vegas, NV 89135Certificate of waiverFeb 13, 2028
29D2310792Las Ventanas Retirement Community-Agc10401 W Charleston Blvd, Las Vegas, NV 89135Certificate of waiverSep 9, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 22

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

NameRoleSinceShare
Bret a Tinker Individual Corporate DirectorBoard Member May 1, 2016
Humangood Nevada Organization, Duarte, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest Jun 30, 2004 100%
Mike Y Jeong Individual Operational/Managerial Control Aug 1, 2007
Adp of the SNF Aug 1, 2007
Baker Tilly US LLP Organization, Madison, WI Adp of the SNF Oct 15, 2024
Albert W Kelley Individual Corporate DirectorBoard Member May 1, 2016
John H. Cochrane Individual Corporate OfficerPresident and Ceo Aug 10, 2009
Operational/Managerial Control Aug 10, 2009
Nichole Swearingen Individual Operational/Managerial Control Aug 3, 2025
Adp of the SNF Aug 1, 2025
Judith D Baker Individual Corporate DirectorBoard Member May 1, 2016
David Dahan Individual Corporate DirectorBoard Member Jan 1, 2008
Herman Declan Brown Individual Corporate OfficerBoard Member & Secretary Feb 10, 2013
Corporate DirectorBoard Member & Secretary Feb 10, 2013
Operational/Managerial Control Feb 10, 2013
Bethany J Ghassemi Individual Corporate OfficerChief Legal Officer & Asst Secre May 28, 2019
Operational/Managerial Control May 28, 2019
Gwen Vangelisto Individual Operational/Managerial Control Aug 30, 2021
Adp of the SNF Aug 30, 2021
Baker Tilly Advisory Group LP Organization, Madison, WI Adp of the SNF Mar 21, 2025
Daniel Ogus Individual Corporate OfficerExecutive VP & Coo Apr 6, 2007
Operational/Managerial Control Apr 6, 2007
Andrew McDonald Individual Corporate OfficerChief Financial Officer Jan 1, 2020
Operational/Managerial Control Jan 1, 2020
Randall Fuller Individual Operational/Managerial Control Jul 31, 2020
Adp of the SNF Jul 31, 2020
Humangood Organization, Duarte, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
David R Decker Individual Corporate DirectorBoard Member May 1, 2016
Organization, Portland, OR LLC, For-profit Adp of the SNF Mar 27, 2017
Humangood Cornerstone Organization, Duarte, CA Corporation, Non-profit 5% Or Greater Indirect Ownership Interest May 1, 2016 100%
Rand M Ferris Individual Corporate DirectorBoard Member Feb 25, 2017
Debra March Individual Corporate DirectorBoard Member Feb 23, 2023

Owners & managing parties with NPI records 1

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

  • Mike Y Jeong, DO
    • Geriatric Medicine (Internal Medicine) Physician
    • Las Vegas, NV
    • NPI 1144251075

    Adp of the SNF, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 14

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 14

Practitioners & affiliated clinicians

Affiliated clinicians 4

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": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748822400000",
    "number": "1871674879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HUNTINGTON DR",
            "city": "DUARTE",
            "state": "CA",
            "postal_code": "910102694",
            "telephone_number": "818-247-0420",
            "fax_number": "949-528-2434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10401 W CHARLESTON BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89135",
            "telephone_number": "702-207-4201",
            "fax_number": "702-360-8643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HUMANGOOD NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A",
        "authorized_official_last_name": "VANGELISTO",
        "authorized_official_first_name": "GWEN",
        "authorized_official_title_or_position": "DIRECTOR OF ACCOUNTS RECEIVABLE",
        "authorized_official_telephone_number": "949-463-0893"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "4529SNF-0",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "4529SNF-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Las Ventanas Retirement Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.