Organization Active NPI

Compassionate Hospice of Las Vegas Inc

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1902363856
Registry record updated Feb 27, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
COMPASSIONATE HOSPICE OF LAS VEGAS INC
Practice address
5600 Spring Mountain Rd Ste 209
Las Vegas, NV 89146-8823
Phone
(702) 463-1405
NPI assigned
Feb 27, 2019
Last updated
Feb 27, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2019

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

Authorized official

Name
Ryan Alegre
Title
Owner
Phone
(702) 463-1405

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X Primary

Addresses

Primary practice location

5600 Spring Mountain Rd Ste 209
Las Vegas, NV 89146-8823

Mailing address

5600 Spring Mountain Rd Ste 209
Las Vegas, NV 89146-8823

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211103000358 NV Part A Provider - Hospice 2365830841 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1902363856. Details of each certification follow.

Hospice certification: CCN 291606

Legal name
COMPASSIONATE HOSPICE OF LAS VEGAS INC
Certification status
Active
Provider type (POS)
Hospice
Participating since
Mar 10, 2022
Last certification
Mar 10, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Feb 11, 2019 in NV
Enrollment address
5600 Spring Mountain Rd
Ste 209
Las Vegas, NV 89146-8823

Care Compare: Hospice

Medicare Care Compare
Listed as
Compassionate Hospice of Las VegasCCN 291606 · All quality measures
Ownership
For-Profit
Certified
Mar 10, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

5600 Spring Mountain Rd
Ste 209
Las Vegas, NV 89146
Phone (702) 463-1405

Ownership & related parties

All disclosed owners & managing parties 3

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

NameRoleSinceShare
Keith V del Rosario Individual 5% Or Greater Direct Ownership Interest Feb 11, 2019 35%
Corporate OfficerOwner/Vice President/Treasurer Feb 11, 2019 35%
Corporate DirectorOwner/Vice President/Treasurer Feb 11, 2019 35%
W-2 Managing EmployeeOwner/Vice President/Treasurer Feb 11, 2019 35%
Ryan Alegre Individual 5% Or Greater Direct Ownership Interest Feb 11, 2019 35%
Corporate OfficerOwner/President/Treasurer Feb 11, 2019 35%
Corporate DirectorOwner/President/Treasurer Feb 11, 2019 35%
W-2 Managing EmployeeOwner/President/Treasurer Feb 11, 2019 35%
Michael Rosales Individual 5% Or Greater Direct Ownership Interest Feb 11, 2019 30%
Corporate OfficerOwner Feb 11, 2019 30%
Corporate DirectorOwner Feb 11, 2019 30%
W-2 Managing EmployeeOwner Feb 11, 2019 30%

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1902363856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 209",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5600 SPRING MOUNTAIN RD STE 209",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891468823",
            "telephone_number": "702-463-1405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE HOSPICE OF LAS VEGAS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "ALEGRE",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-463-1405"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.