NPIMap

Organization Active NPI

Lorian Home Systems, Inc. of Las Vegas

Doing business as Lorian Health

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1891853305
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
3453HHA-7 Issued in NV
Legal business name
LORIAN HOME SYSTEMS, INC. OF LAS VEGAS
Doing business as
Lorian Health
Practice address
6325 S. Rainbow Blvd
Suite 120
Las Vegas, NV 89118
Phone
(702) 220-9535
Fax
(702) 220-9536
NPI assigned
Dec 5, 2006
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Agustin Ahumada
Title
Administrator
Phone
(619) 280-8184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 3453HHA-7 NV Primary

Addresses

Primary practice location

6325 S. Rainbow Blvd
Suite 120
Las Vegas, NV 89118

Mailing address

9325 Sky Park Court
Suite 310
San Diego, CA 92123
Phone (619) 280-8184

Other identifiers 1

IdentifierTypeStateIssuer
002902123MedicaidNV

Other names 1

  • Lorian Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20020904000006 NV Part A Provider - Home Health Agency 4789591652 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1891853305. Details of each certification follow.

Home health agency certification: CCN 297099

Legal name
LORIAN HOME SYSTEMS, INC. OF LAS VEGAS
Doing business as
LORIAN HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 18, 2002
Last certification
May 8, 2019
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Feb 4, 2002 in NV
Enrollment address
6325 S Rainbow Blvd
Ste 120
Las Vegas, NV 89118-3278
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Lorian HealthCCN 297099 · All quality measures
Overall star rating
3.5 of 5
Ownership
Proprietary
Certified
Nov 18, 2002
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

Locations

3130 S Rainbow Blvd
Ste 305
Las Vegas, NV 89146
Phone (702) 220-9535

6325 S Rainbow Blvd
Ste 120
Las Vegas, NV 89118
Phone (323) 490-6385

Ownership & related parties

All disclosed owners & managing parties 2

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

NameRoleSinceShare
Julian M Ahumada Individual 5% Or Greater Direct Ownership Interest Feb 4, 2002 100%
Joseph S Lopez Individual W-2 Managing EmployeeController Apr 20, 2012

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 53

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 53

NPI Registry JSON

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1891853305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9325 SKY PARK COURT",
            "address_2": "SUITE 310",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92123",
            "telephone_number": "619-280-8184",
            "fax_number": "619-795-1870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6325 S. RAINBOW BLVD",
            "address_2": "SUITE 120",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89118",
            "telephone_number": "702-220-9535",
            "fax_number": "702-220-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LORIAN HOME SYSTEMS, INC. OF LAS VEGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "AHUMADA",
        "authorized_official_first_name": "AGUSTIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "619-280-8184"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "3453HHA-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002902123",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Lorian Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.