Organization Active NPI

Homehealth Management and Consultant Agency

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1962942201
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
8933-HHA-0 Issued in NV
Legal business name
HOMEHEALTH MANAGEMENT AND CONSULTANT AGENCY
Practice address
4495 W. Hacienda Ave
Suite 7a
Las Vegas, NV 89118-1541
Phone
(702) 929-3416
Fax
(702) 924-7422
NPI assigned
Mar 6, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Authorized official

Name
Ms. Jennifer Jane Verano Diaz, RN, MSN, MBA
Title
Administrator/DPCS
Phone
(702) 929-3416

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 8670-HHA-0 NV
Home Health Agency 251E00000X 8933-HHA-0 NV Primary

Addresses

Primary practice location

4495 W. Hacienda Ave
Suite 7a
Las Vegas, NV 89118-1541

Mailing address

4495 W. Hacienda Ave
Suite 7a
Las Vegas, NV 89118-1541
Phone (702) 929-3416

Other names 1

  • DBA Joyahs Home Health Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170504002440 NV Part A Provider - Home Health Agency 9133406879 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297259

Legal name
HOMEHEALTH MANAGEMENT AND CONSULTANT AGENCY
Doing business as
JOYAHS HOME HEALTH
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Nov 5, 2019
Last certification
Nov 5, 2019
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Mar 21, 2016 in NV
Enrollment address
4495 W Hacienda Ave
Ste 7a
Las Vegas, NV 89118-1541

Care Compare: Home health agency

Medicare Care Compare
Listed as
Joyahs Home HealthCCN 297259
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Nov 5, 2019
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

4495 W Hacienda Ave
Ste 7A
Las Vegas, NV 89118
Phone (702) 929-3416

2770 S Maryland Pkwy
Ste 110B
Las Vegas, NV 89109
Phone (702) 929-3416

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
Jennifer Jane V Diaz Individual 5% Or Greater Direct Ownership InterestOwner Jul 29, 2017 60%
Corporate OfficerCeo/Administrator Jul 29, 2017 60%
Corporate DirectorCeo Jul 29, 2017 60%
W-2 Managing EmployeeAdministrator/Ceo Jul 29, 2017
Operational/Managerial ControlCeo/Administrator Jul 29, 2017 60%
Marie Stephanie D Uyloan Individual 5% Or Greater Direct Ownership InterestOwner Jul 29, 2017 40%
Corporate OfficerBoard Member Jul 29, 2017 40%
W-2 Managing EmployeeBoard Member Jul 29, 2017 40%
Operational/Managerial Control Jul 29, 2017 40%

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": "1488758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1700438400000",
    "number": "1962942201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 W. HACIENDA AVE",
            "address_2": "SUITE 7A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181541",
            "telephone_number": "702-929-3416",
            "fax_number": "702-924-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4495 W. HACIENDA AVE",
            "address_2": "SUITE 7A",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181541",
            "telephone_number": "702-929-3416",
            "fax_number": "702-924-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMEHEALTH MANAGEMENT AND CONSULTANT AGENCY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-06",
        "last_updated": "2023-11-20",
        "certification_date": "2020-04-14",
        "status": "A",
        "authorized_official_last_name": "DIAZ",
        "authorized_official_first_name": "JENNIFER JANE",
        "authorized_official_middle_name": "VERANO",
        "authorized_official_title_or_position": "ADMINISTRATOR/DPCS",
        "authorized_official_telephone_number": "702-929-3416",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, MSN, MBA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8670-HHA-0",
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "8933-HHA-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DBA Joyahs Home Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.