1. Home
  2. Directory
  3. Nevada
  4. Las Vegas
  5. Home Health
  6. NPI Profile

EBONNY HOME HEALTH AGENCY
NPI 1003254400
Home Health in Las Vegas, NV

Active since June 06, 2013CLIA 29D2166283 · Waiver
1101 N DECATUR BLVD, LAS VEGAS, NV 89108(702) 399-7154(866) 528-6506 Get Directions Write a Review

NPPES record last updated: July 20, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ebonny Home Health Agency NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EBONNY HOME HEALTH AGENCY (NPI 1003254400) is a healthcare organization registered as a home health in Las Vegas, Nevada and active in the NPI registry since June 2013. The organization holds a CLIA Waiver certificate valid through May 14, 2027 and lists Moses Irubor, President, as its authorized official.

NPPES Registry Identity

NPI1003254400
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameEBONNY HOME HEALTH AGENCY INC
Location Address1101 N DECATUR BLVDLas Vegas, NV 89108-1220
Mailing Address1101 N Decatur BlvdLas Vegas, NV 89108-1220 · (702) 399-7154 · Fax (866) 528-6506
Phone(702) 399-7154
Fax(866) 528-6506
Organization SubpartNo
Authorized OfficialMoses IruborPresident · (281) 235-3417
Enumeration DateJune 6, 2013
Last NPPES UpdateJuly 20, 2023
NPPES CertifiedJuly 20, 2023
✔ NPI 1003254400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
1101 N DECATUR BLVD, Las Vegas, NV 89108
Open in Google Maps ↗

Other Names 1

Doing Business AsEbonny Home Health Agency

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2166283

Ebonny Home Health Agency · Las Vegas, NV
Active · expires May 14, 2027
CLIA Number29D2166283
Laboratory TypeHome Health Agency
Certificate Effective DateMay 15, 2025
Certificate Expiration DateMay 14, 2027
Laboratory DirectorMaxine B. Ingham
Laboratory Phone(702) 399-7154
Laboratory LocationEbonny Home Health Agency3530 E Flamingo Rd Ste 105, Las Vegas, NV 89121
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Home Health Quality Ratings CMS Care Compare

Quality ratings, patient care measures and outcomes for Ebonny Home Health Agency (CMS certification number 297141), from CMS Care Compare.

Ebonny Home Health Agency

Home health agency · Las Vegas, NV
OwnershipProprietary
CMS Certification Number297141
Medicare-Certified SinceFebruary 22, 2008
Phone(702) 399-7154
Services Offered
Skilled nursing care Physical therapy Occupational therapy Speech-language pathology Medical social services Home health aide services

Discharge, Readmission & Medicare Spending

Patients discharged to the community, remaining home without unplanned hospital care
Cases too small to report
Potentially preventable hospital readmissions after discharge
Cases too small to report
Risk-standardized rates account for differences in patient mix. Comparison labels are assigned by CMS.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EXCLUSIVE HOME HEALTHCARE
Home Health
1101 N DECATUR BLVD
LAS VEGAS, NV 89108
Clark County (702) 813-9827
DR. MYAU GEANINE JENKINS PT, DPT, MOT R/L
Clinic/Center (Physical Therapy)
1101 N DECATUR BLVD
LAS VEGAS, NV 89108
Clark County (702) 813-9827
NEW LIFE PERSONAL CARE LLC.,
Home Health
1101 N DECATUR BLVD
LAS VEGAS, NV 89108
Clark County (702) 258-9617

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ebonny Home Health Agency Inc's NPI number?

The NPI number for Ebonny Home Health Agency Inc is 1003254400. It was assigned to this organization in the NPPES registry on June 6, 2013. The provider is doing business as Ebonny Home Health Agency.

Where is Ebonny Home Health Agency Inc located?

Ebonny Home Health Agency Inc is located at 1101 N Decatur Blvd, Las Vegas, NV 89108. The listed phone number is (702) 399-7154.

What is Ebonny Home Health Agency Inc's specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Ebonny Home Health Agency Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2166283) is associated with this NPI, valid through May 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ebonny Home Health Agency Inc a Medicare-certified home health agency?

Yes. Ebonny Home Health Agency is a Medicare-certified home health agency, certified since February 22, 2008.

When was this NPI record last updated?

The NPPES record for Ebonny Home Health Agency Inc was last updated on July 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.