Active NPI
Compassionate Hospice of Las Vegas Inc
- Community Based Hospice Care Agency
- Las Vegas, NV
National Provider Identifier
1902363856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Based Hospice Care Agency
- 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, 2019
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Vegas
- Ownership
- For-Profit
- Certified
- Mar 10, 2022
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Keith V del Rosario | 5% Or Greater Direct Ownership Interest | Feb 11, 2019 | 35% |
| Corporate Officer | Feb 11, 2019 | 35% | |
| Corporate Director | Feb 11, 2019 | 35% | |
| W-2 Managing Employee | Feb 11, 2019 | 35% | |
| Ryan Alegre | 5% Or Greater Direct Ownership Interest | Feb 11, 2019 | 35% |
| Corporate Officer | Feb 11, 2019 | 35% | |
| Corporate Director | Feb 11, 2019 | 35% | |
| W-2 Managing Employee | Feb 11, 2019 | 35% | |
| Michael Rosales | 5% Or Greater Direct Ownership Interest | Feb 11, 2019 | 30% |
| Corporate Officer | Feb 11, 2019 | 30% | |
| Corporate Director | Feb 11, 2019 | 30% | |
| W-2 Managing Employee | 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
- Compassionate Hands LLC
- Compassionate Healthcare Services LLC
- Compassionate Heart Services LLC
- Compassionate Hearts Personal Care LLC
- Compassionate Hearts Therapy and Consulting
- Compassionate Obstetrician
- Compassioncare Hospice Las Vegas, LLC (CompassionCare Hospice)
- Cecilia Compean
- Complete Care Pharmacy & Medical Supply Inc (AdvanceCare Las Vegas)
- Complete Comfort Care LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.