Organization Active NPI

Billet Hospice Inc - Las Vegas

  • Community Based Hospice Care Agency
  • Las Vegas, NV
National Provider Identifier
1922684711
Registry record updated Mar 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
BILLET HOSPICE INC - LAS VEGAS
Practice address
726 E Sahara Ave Ste 2
Las Vegas, NV 89104-2913
Phone
(833) 224-5538
NPI assigned
Mar 22, 2021
Last updated
Mar 22, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2021

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

Authorized official

Name
Vahan Oganesyan
Title
Coo
Phone
(833) 224-5538

Specialties & licenses 1

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

Addresses

Primary practice location

726 E Sahara Ave Ste 2
Las Vegas, NV 89104-2913

Mailing address

6710 N 47TH Ave
Glendale, AZ 85301-4121
Phone (833) 224-5538

Other identifiers 1

IdentifierTypeStateIssuer
9858-HPC-0OtherNVSTATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210401001197 NV Part A Provider - Hospice 2264849595 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1922684711. Details of each certification follow.

Hospice certification: CCN 291618

Legal name
BILLET HOSPICE INC - LAS VEGAS
Certification status
Active
Provider type (POS)
Hospice
Participating since
Aug 3, 2022
Last certification
Aug 3, 2022
Ownership / control type
Proprietary - Corporation
Organization structure
CorporationProprietary
Incorporated
Jul 10, 2018 in NV
Enrollment address
726 E Sahara Ave
Ste 2
Las Vegas, NV 89104-2913

Care Compare: Hospice

Medicare Care Compare
Listed as
Billet Hospice, Inc - Las VegasCCN 291618 · All quality measures
Ownership
For-Profit
Certified
Aug 3, 2022
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory

Locations

6710 N 47th Ave
Glendale, AZ 85301
Phone (323) 717-7707

726 E Sahara Ave
Ste 2
Las Vegas, NV 89104

Ownership & related parties

All disclosed owners & managing parties 4

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

NameRoleSinceShare
Armen Ghadimian Individual 5% Or Greater Direct Ownership InterestCeo Jul 10, 2018 50%
Corporate OfficerCeo Jul 10, 2018 50%
W-2 Managing EmployeeCeo Jul 10, 2018 50%
Andrew Sheep Individual Contracted Managing EmployeeMD; Jul 1, 2025
Amanda Antol Individual W-2 Managing EmployeeAd; Feb 8, 2023
Vahan Oganesyan Individual 5% Or Greater Direct Ownership InterestCoo Jul 10, 2018 50%
Corporate OfficerCoo Jul 10, 2018 50%
W-2 Managing EmployeeCoo Jul 10, 2018 50%

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

Affiliated clinicians 1

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": "1616371200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616371200000",
    "number": "1922684711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6710 N 47TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853014121",
            "telephone_number": "833-224-5538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 E SAHARA AVE STE 2",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891042913",
            "telephone_number": "833-224-5538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BILLET HOSPICE INC - LAS VEGAS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-22",
        "last_updated": "2021-03-22",
        "certification_date": "2021-03-22",
        "status": "A",
        "authorized_official_last_name": "OGANESYAN",
        "authorized_official_first_name": "VAHAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "833-224-5538"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF NEVADA DEPARTMENT OF HEALTH AND HUMAN SERVICES",
            "identifier": "9858-HPC-0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.