NPIMap

Organization Active NPI

Corinthians of Nevada Healthcare Inc

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1992738595
Registry record updated Aug 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
4225HHA-2 Issued in NV
Legal business name
CORINTHIANS OF NEVADA HEALTHCARE INC
Practice address
2001 S Rainbow Blvd
Suite 180
Las Vegas, NV 89146-2990
Phone
(702) 798-5020
Fax
(702) 798-5021
NPI assigned
Jul 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2012

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

Authorized official

Name
Mr. Redy Vitug
Title
Ceo
Phone
(702) 798-5020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 4225HHA-2 NV Primary

Addresses

Primary practice location

2001 S Rainbow Blvd
Suite 180
Las Vegas, NV 89146-2990

Mailing address

2001 S Rainbow Blvd
Suite 180
Las Vegas, NV 89146-2990
Phone (702) 798-5020

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041221001068 NV Part A Provider - Home Health Agency 7719945799 Practice locations: Las Vegas, NV

Home health agency certification: CCN 297127

Legal name
CORINTHIANS OF NEVADA HEALTHCARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Aug 29, 2006
Last certification
Mar 17, 2021
Ownership / control type
Proprietary
Organization structure
CorporationProprietary
Incorporated
Oct 20, 2004 in NV
Enrollment address
2001 S Rainbow Blvd
Ste 180
Las Vegas, NV 89146-0816

Care Compare: Home health agency

Medicare Care Compare
Listed as
Corinthians of Nevada Health Care IncCCN 297127
Overall star rating
1.5 of 5
Ownership
Proprietary
Certified
Aug 29, 2006
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

2001 S Rainbow Blvd
Ste 180
Las Vegas, NV 89146
Phone (702) 798-5020

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
Thricia Bonaagua Individual W-2 Managing EmployeeDirector of Patient Care Services Jun 16, 2017
Grace May Briones Individual 5% Or Greater Direct Ownership InterestCfo Oct 20, 2004 25%
Corporate OfficerCfo Oct 20, 2004 25%
Corporate DirectorBoard Member Oct 20, 2004 25%
Redy Vitug Individual 5% Or Greater Direct Ownership InterestCeo Oct 20, 2004 50%
Corporate OfficerCeo Oct 20, 2004 50%
Corporate DirectorBoard Member Oct 20, 2004 50%
W-2 Managing EmployeeAdministrator May 1, 2015 50%
John Briones Individual 5% Or Greater Direct Ownership Interest Oct 20, 2004 25%
Corporate OfficerVice President Oct 20, 2004 25%
Corporate Director Oct 20, 2004 25%

Practitioners & affiliated clinicians

Affiliated clinicians 3

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": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1345507200000",
    "number": "1992738595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 S RAINBOW BLVD",
            "address_2": "SUITE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462990",
            "telephone_number": "702-798-5020",
            "fax_number": "702-798-5021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 S RAINBOW BLVD",
            "address_2": "SUITE 180",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891462990",
            "telephone_number": "702-798-5020",
            "fax_number": "702-798-5021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORINTHIANS OF NEVADA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2012-08-21",
        "status": "A",
        "authorized_official_last_name": "VITUG",
        "authorized_official_first_name": "REDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-798-5020",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "4225HHA-2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.