NPIMap

Organization Active NPI

Avm Corp, LLC

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1992144042
Registry record updated Jan 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NV20131375146 Issued in NV
Legal business name
AVM CORP, LLC
Practice address
3824 S Jones Blvd Ste C
Las Vegas, NV 89103-2451
Phone
(702) 816-2277
NPI assigned
Jun 21, 2013
Last updated
Jan 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2018

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

Authorized official

Name
Joselito L Molina
Title
Owner
Phone
(702) 816-2277

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV20131375146 NV Primary

Addresses

Primary practice location

3824 S Jones Blvd Ste C
Las Vegas, NV 89103-2451

Mailing address

3824 S Jones Blvd Ste C
Las Vegas, NV 89103-2451
Phone (702) 816-2277

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109001014 NV Part A Provider - Home Health Agency 6709142680 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992144042. Details of each certification follow.

Home health agency certification: CCN 297243

Legal name
AVM CORP LLC
Doing business as
ASSURED HOME HEALTH AGENCY
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Sep 27, 2018
Last certification
Sep 27, 2018
Ownership / control type
Proprietary
Organization structure
LLCProprietary
Incorporated
Jun 21, 2013 in NV
Enrollment address
3824 S Jones Blvd
Ste B
Las Vegas, NV 89103-2451

Care Compare: Home health agency

Medicare Care Compare
Listed as
Assured Home Health AgencyCCN 297243 · All quality measures
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Sep 27, 2018
Medicare certification status
ActiveFrom the Provider of Services file
Services
Nursing, Medical social, Home health aide, Physical therapy, Speech pathology, Occupational therapy

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2113925Assured Home Health Agency3824 S Jones Blvd Ste B and C, Las Vegas, NV 89103Certificate of waiverJun 1, 2028

National Provider Directory

National Provider Directory

Locations

3824 S Jones Blvd
Ste B
Las Vegas, NV 89103
Phone (702) 816-2277

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
Joselito L Molina Individual 5% Or Greater Direct Ownership Interest Jun 21, 2013 100%
Corporate OfficerCeo/Board Member Jun 21, 2013 100%
Corporate DirectorCeo/Board Member Jun 21, 2013 100%
Demae Concepcion Individual W-2 Managing EmployeeAdministrator Jan 1, 2021

Practitioners & affiliated clinicians

Affiliated clinicians 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1371772800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1515369600000",
    "number": "1992144042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 S JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032451",
            "telephone_number": "702-816-2277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3824 S JONES BLVD STE C",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891032451",
            "telephone_number": "702-816-2277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVM CORP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-21",
        "last_updated": "2018-01-08",
        "status": "A",
        "authorized_official_last_name": "MOLINA",
        "authorized_official_first_name": "JOSELITO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-816-2277"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20131375146",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.