Organization Active NPI

Americare Home Health, LLC

Doing business as Allstate Home Health Services

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1912956822
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
AMERICARE HOME HEALTH, LLC
Doing business as
Allstate Home Health Services
Practice address
2780 S Jones Blvd
Suite L
Las Vegas, NV 89146-5625
Phone
(702) 399-8880
Fax
(702) 795-8881
NPI assigned
May 8, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Virgil M Payawal, CPA
Title
President/Administrator
Phone
(702) 399-8880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NU Primary

Addresses

Primary practice location

2780 S Jones Blvd
Suite L
Las Vegas, NV 89146-5625

Mailing address

2780 S Jones Blvd
Suite L
Las Vegas, NV 89146-5625
Phone (702) 399-8880

Other names 1

  • Allstate Home Health Services Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191209000861 NV Part A Provider - Home Health Agency 6002249836 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1912956822. Details of each certification follow.

Home health agency certification: CCN 297133

Legal name
AMERICARE HOME HEALTH LLC
Doing business as
ALLSTATE HOME HEALTH SERVICES
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Feb 20, 2003
Last certification
Feb 12, 2020
Ownership / control type
Non-Profit
Organization structure
LLCProprietary
Incorporated
Mar 6, 2006 in NV
Enrollment address
2860 E Flamingo Rd
Ste D Room 101
Las Vegas, NV 89121-5270

Care Compare: Home health agency

Medicare Care Compare
Listed as
Allstate Home Health ServicesCCN 297133 · All quality measures
Ownership
Non-Profit
Certified
Feb 20, 2003
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

6206 W Desert Inn Rd
Ste B
Las Vegas, NV 89146
Phone (702) 399-8880

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
Ron Randall Gabiola Individual 5% Or Greater Direct Ownership Interest Nov 15, 2019 100%
Corporate DirectorManaging Member, Board Member Nov 15, 2019 100%
W-2 Managing EmployeeManaging Member, Board Member Nov 15, 2019 40%
Operational/Managerial ControlManaging Member, Board Member Nov 15, 2019 60%
Arlene P Melendres Individual W-2 Managing EmployeeAdministrator Nov 15, 2019 50%
Operational/Managerial ControlAdministrator Nov 15, 2019 40%

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912956822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD",
            "address_2": "SUITE L",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-399-8880",
            "fax_number": "702-795-8881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2780 S JONES BLVD",
            "address_2": "SUITE L",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891465625",
            "telephone_number": "702-399-8880",
            "fax_number": "702-795-8881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICARE HOME HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PAYAWAL",
        "authorized_official_first_name": "VIRGIL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT/ADMINISTRATOR",
        "authorized_official_telephone_number": "702-399-8880",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allstate Home Health Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.