NPIMap

Organization Active NPI

Las Vegas Home Health Care, Inc.

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1972786010
Registry record updated Sep 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LAS VEGAS HOME HEALTH CARE, INC.
Practice address
3153 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3142
Phone
(702) 405-9200
Fax
(702) 405-9202
NPI assigned
Dec 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2021

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

Authorized official

Name
Nicollette Magno Gomez
Title
President / Office Manager
Phone
(702) 405-9200

Specialties & licenses 1

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

Addresses

Primary practice location

3153 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3142

Mailing address

3153 E Warm Springs Rd Ste 100
Las Vegas, NV 89120-3142
Phone (702) 405-9200

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080926000095 NV Part A Provider - Home Health Agency 9931276375 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297168

Legal name
LAS VEGAS HOME HEALTH CARE, INC.
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 1, 2009
Last certification
Apr 15, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Aug 21, 2007 in NV
Enrollment address
3153 E Warm Springs Rd
Ste 100
Las Vegas, NV 89120-3142

Care Compare: Home health agency

Medicare Care Compare
Listed as
Las Vegas Home Health Care, IncCCN 297168
Overall star rating
4.5 of 5
Ownership
Proprietary
Certified
Jul 1, 2009
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

3153 E Warm Springs Rd
Ste 100
Las Vegas, NV 89120
Phone (702) 405-9200

2595 Chandler Ave
Ste 17
Las Vegas, NV 89120
Phone (702) 405-9200

6029 S Fort Apache Rd
Ste 100
Las Vegas, NV 89148
Phone (702) 405-9200

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
Nicollette M Gomez Individual 5% Or Greater Direct Ownership InterestOwner Jul 1, 2016 50%
Corporate OfficerBoard Member/President Jul 1, 2016 50%
Corporate Director Sep 1, 2021 50%
W-2 Managing EmployeeOffice Manager / Board Member Jul 1, 2016 50%
Operational/Managerial ControlOffice Manager,Secretary,Board M Jul 1, 2016 50%
Eric Gomez Individual 5% Or Greater Direct Ownership InterestOwner Jun 1, 2025 50%
5% Or Greater Indirect Ownership Interest Sep 1, 2021
Corporate Officer Sep 1, 2021 50%
W-2 Managing Employee Sep 1, 2021 50%

Practitioners & affiliated clinicians

Affiliated clinicians 12

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": "1197417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1630972800000",
    "number": "1972786010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3153 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203142",
            "telephone_number": "702-405-9200",
            "fax_number": "702-405-9202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3153 E WARM SPRINGS RD STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891203142",
            "telephone_number": "702-405-9200",
            "fax_number": "702-405-9202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAS VEGAS HOME HEALTH CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-12",
        "last_updated": "2021-09-07",
        "certification_date": "2021-09-07",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "NICOLLETTE",
        "authorized_official_middle_name": "MAGNO",
        "authorized_official_title_or_position": "PRESIDENT / OFFICE MANAGER",
        "authorized_official_telephone_number": "702-405-9200"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.