NPIMap

Organization Active NPI

Family Care Home Health & Hospice, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1871782342
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4111HHA Issued in NV
Legal business name
FAMILY CARE HOME HEALTH & HOSPICE, LLC
Practice address
4450 E Washington Ave Ste 2
Las Vegas, NV 89110-5783
Phone
(702) 650-9366
Fax
(702) 650-9388
NPI assigned
Oct 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Authorized official

Name
Mohammed Azizuddin Ahmed
Title
Administrator
Phone
(702) 650-9366

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4111HHA NV Primary

Addresses

Primary practice location

4450 E Washington Ave Ste 2
Las Vegas, NV 89110-5783

Mailing address

4450 E Washington Ave Ste 2
Las Vegas, NV 89110-5783
Phone (702) 650-9366

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040927001200 NV Part A Provider - Home Health Agency 7214906247 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297124

Legal name
FAMILY CARE HOME HEALTH & HOSPICE, LLC
Doing business as
FAMILY CARE HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 2, 2005
Last certification
Apr 19, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Enrollment address
4450 E Washington Ave
Ste 2
Las Vegas, NV 89110-5783

Care Compare: Home health agency

Medicare Care Compare
Listed as
Family Care Home Health AgencyCCN 297124 ยท All quality measures
Ownership
Proprietary
Certified
Nov 2, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

National Provider Directory

National Provider Directory
Tax ID family
Family Care Home Health Hospice LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Locations

1945 E Warm Springs Rd
Ste 300
Las Vegas, NV 89119
Phone (702) 650-9366

4450 E Washington Ave
Ste 2
Las Vegas, NV 89110
Phone (702) 650-9366

Ownership & related parties

All disclosed owners & managing parties 1

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

NameRoleSinceShare
Mohammed Ahmed Individual 5% Or Greater Direct Ownership InterestManager Aug 17, 2007 100%
Corporate OfficerCeo Aug 17, 2007
Corporate DirectorDirector Aug 17, 2007 100%
W-2 Managing EmployeeCeo Aug 17, 2007 100%

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": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772582400000",
    "number": "1871782342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E WASHINGTON AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105783",
            "telephone_number": "702-650-9366",
            "fax_number": "702-650-9388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4450 E WASHINGTON AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891105783",
            "telephone_number": "702-650-9366",
            "fax_number": "702-650-9388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY CARE HOME HEALTH & HOSPICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "MOHAMMED",
        "authorized_official_middle_name": "AZIZUDDIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "702-650-9366"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4111HHA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.