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ST.AGATHA HOME HEALTH LLC
NPI 1003440140
Home Health in Henderson, NV

Active since February 27, 2020CLIA 29D2199163 · Waiver
11145 S EASTERN AVE, HENDERSON, NV 89052(702) 473-9001 Get Directions Write a Review

NPPES record last updated: February 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About St.agatha Home Health Llc NPPES

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

ST.AGATHA HOME HEALTH LLC (NPI 1003440140) is a healthcare organization registered as a home health in Henderson, Nevada and active in the NPI registry since February 2020. The organization holds a CLIA Waiver certificate valid through November 4, 2026 and lists Alfred T Esguerra, Asst. Administrator, as its authorized official.

NPPES Registry Identity

NPI1003440140
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameST.AGATHA HOME HEALTH LLC
Location Address11145 S EASTERN AVEHenderson, NV 89052-4384
Mailing Address11145 S Eastern AveHenderson, NV 89052-4384 · (630) 248-7450 · Fax (702) 473-9003
Phone(702) 473-9001
Organization SubpartNo
Authorized OfficialAlfred T EsguerraAsst. Administrator · (630) 248-7450
Enumeration DateFebruary 27, 2020
✔ NPI 1003440140 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.
11145 S EASTERN AVE, Henderson, NV 89052
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Medicare Participation & PECOS CMS

Medicare enrollment and revalidation status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

St.agatha Home Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by November 30, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateNevadaEnrollment IDO20200611001083Part A · Home Health AgencyDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

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 29D2199163

St Agatha Home Health LLC · Henderson, NV
Active · expires Nov 4, 2026
CLIA Number29D2199163
Laboratory TypeHome Health Agency
Certificate Effective DateNovember 5, 2024
Certificate Expiration DateNovember 4, 2026
Laboratory DirectorAmarjit K. Singh
Laboratory Phone(702) 473-9001
Laboratory LocationSt Agatha Home Health LLC11145 S Eastern Ave Ste 130, Henderson, NV 89052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 St.Agatha Home Health LLC's NPI number?

The NPI number for St.Agatha Home Health LLC is 1003440140. It was assigned to this organization in the NPPES registry on February 27, 2020.

Where is St.Agatha Home Health LLC located?

St.Agatha Home Health LLC is located at 11145 S Eastern Ave, Henderson, NV 89052. The listed phone number is (702) 473-9001.

What is St.Agatha Home Health LLC's specialty?

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

Is St.Agatha Home Health LLC enrolled in Medicare?

Yes. St.Agatha Home Health LLC is registered in the Medicare PECOS enrollment system.

When is St.Agatha Home Health LLC's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Nevada, Home Health Agency) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

Does St.Agatha Home Health LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2199163) is associated with this NPI, valid through November 4, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for St.Agatha Home Health LLC was last updated on February 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.