Organization Active NPI

Caring Professionals LLC

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1922544964
Registry record updated Sep 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
CARING PROFESSIONALS LLC
Practice address
10501 W Gowan Rd Ste 170
Las Vegas, NV 89129-6603
Phone
(702) 485-5562
Fax
(702) 852-0409
NPI assigned
Jan 15, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2020

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

Authorized official

Name
Nona Loristo Bautista
Title
Owner
Phone
(702) 542-5286

Specialties & licenses 1

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

Addresses

Primary practice location

10501 W Gowan Rd Ste 170
Las Vegas, NV 89129-6603

Mailing address

10501 W Gowan Rd Ste 170
Las Vegas, NV 89129-6603
Phone (702) 485-5562

Other names 1

  • CARING PROFESSIONALS HOSPICE Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170223002471 NV Part A Provider - Hospice 9335423029 Practice locations: Las Vegas, NV

Hospice certification: CCN 291572

Legal name
CARING PROFESSIONALS LLC
Doing business as
CARING PROFESSIONALS HOSPICE
Certification status
Active
Provider type (POS)
Hospice
Participating since
May 29, 2020
Last certification
May 29, 2020
Ownership / control type
Proprietary - Corporation
Organization structure
LLCProprietary
Incorporated
Aug 1, 2016 in NV
Enrollment address
2595 Montessouri St
Las Vegas, NV 89117-3009

Care Compare: Hospice

Medicare Care Compare
Listed as
Caring Professionals HospiceCCN 291572
Ownership
For-Profit
Certified
May 29, 2020
Medicare certification status
ActiveFrom the Provider of Services file

Care Compare: Hospice

Medicare Care Compare
Listed as
Aspen HospiceCCN 291621
Ownership
For-Profit
Certified
Aug 23, 2022

Name & address match This facility record has no NPI; it was connected to this NPI by matching name and address. The facility is not in the current Medicare enrollment files, which can mean its Medicare enrollment has ended (or, for VA and military hospitals, that it does not enroll).

National Provider Directory

National Provider Directory

Locations

2770 S Maryland Pkwy
Ste 512E
Las Vegas, NV 89109
Phone (702) 232-1998

2595 Montessouri St
Las Vegas, NV 89117
Phone (702) 485-5562

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
Manoj Nath Individual Contracted Managing EmployeeMD; Nov 10, 2020
Nona L Bautista Individual 5% Or Greater Direct Ownership InterestOwner Aug 1, 2016 100%
Corporate OfficerCeo and Administrator Aug 1, 2016 100%
Corporate DirectorCeo Aug 1, 2016 100%
W-2 Managing EmployeeAd; Aug 1, 2016 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 2

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

NPI Registry JSON

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

{
    "created_epoch": "1484438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599004800000",
    "number": "1922544964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10501 W GOWAN RD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296603",
            "telephone_number": "702-485-5562",
            "fax_number": "702-852-0409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10501 W GOWAN RD STE 170",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891296603",
            "telephone_number": "702-485-5562",
            "fax_number": "702-852-0409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARING PROFESSIONALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-15",
        "last_updated": "2020-09-02",
        "certification_date": "2020-09-02",
        "status": "A",
        "authorized_official_last_name": "BAUTISTA",
        "authorized_official_first_name": "NONA",
        "authorized_official_middle_name": "LORISTO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-542-5286"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CARING PROFESSIONALS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "CARING PROFESSIONALS HOSPICE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.