Active NPI
Americare Home Health, LLC
Doing business as Allstate Home Health Services
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1912956822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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, 2020
- 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
- Virgil M Payawal, CPA
- Title
- President/Administrator
- Phone
- (702) 399-8880
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Services
- Ownership
- Non-Profit
- Certified
- Feb 20, 2003
- Medicare certification status
- Active
- Services
- Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Ron Randall Gabiola | 5% Or Greater Direct Ownership Interest | Nov 15, 2019 | 100% |
| Corporate Director | Nov 15, 2019 | 100% | |
| W-2 Managing Employee | Nov 15, 2019 | 40% | |
| Operational/Managerial Control | Nov 15, 2019 | 60% | |
| Arlene P Melendres | W-2 Managing Employee | Nov 15, 2019 | 50% |
| Operational/Managerial Control | 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
- American Specialty Lab LLC
- American Specialty Lab LLC
- American Specialty Pharmacy Inc (ASPCares)
- American Wellness Pharmacy
- Americana Hospice Inc
- Ameriprime Home Health, Inc.
- Ameritina Dental Eastern LLC (Nevada Dentistry and Braces)
- Ziajia Amerson
- Amertina Dental Group and Orthodontics (Nevada Dentistry & Braces)
- Alison M Ames-Orci, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.