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HCBS WAIVER FOR PERSONS WITH FRAIL ELDERLY
NPI 1063165801
Homemaker in Las Vegas, NV

Active since February 01, 2022CLIA 29D2311705 · Waiver
1650 E SAHARA AVE STE 4A, LAS VEGAS, NV 89104(702) 769-0584 Get Directions Write a Review

NPPES record last updated: May 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 20, 2022, Feb 1, 2022 (2 updates tracked since 2022).

About Hcbs Waiver For Persons With Frail Elderly NPPES

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

HCBS WAIVER FOR PERSONS WITH FRAIL ELDERLY (NPI 1063165801) is a healthcare organization registered as a homemaker in Las Vegas, Nevada and active in the NPI registry since February 2022. The organization holds a CLIA Waiver certificate valid through September 25, 2026 and lists Maidelyn De La Paz, Administrator, as its authorized official.

NPPES Registry Identity

NPI1063165801
Entity TypeOrganization
Primary Taxonomy376J00000X
Legal Business NameLAS VEGAS FAMILY HOME CARE LLC
Location Address1650 E SAHARA AVE STE 4ALas Vegas, NV 89104-3495
Mailing Address1650 E Sahara Ave Ste 4aLas Vegas, NV 89104-3495 · (702) 769-0584
Phone(702) 769-0584
Organization SubpartYes
Authorized OfficialMaidelyn De La PazAdministrator · (702) 769-0584
Enumeration DateFebruary 1, 2022
Last NPPES UpdateMay 20, 20222 updates tracked since enumeration
NPPES CertifiedFebruary 11, 2022
✔ NPI 1063165801 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyHomemakerNursing Service Related Providers
Taxonomy Code376J00000X
Definition
An individual who provides general household activities such as meal preparation, laundry, and light housekeeping, when the individual regularly responsible for these activities is temporarily absent or unable to provide for himself. Homemakers must meet the state defined training standards.
Also ListedChore ProviderTaxonomy 372500000X
Also ListedAdult CompanionTaxonomy 372600000X
Also ListedRespite CareTaxonomy 385H00000X
1650 E SAHARA AVE STE 4A, Las Vegas, NV 89104
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Other Names 1

Doing Business AsHcbs Waiver For Persons With Frail Elderly

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 29D2311705

Las Vegas Family Home Health LLC · Las Vegas, NV
Active · expires Sep 25, 2026
CLIA Number29D2311705
Laboratory TypeHome Health Agency
Certificate Effective DateSeptember 26, 2024
Certificate Expiration DateSeptember 25, 2026
Laboratory DirectorErwin Sanchez Salazar
Laboratory Phone(702) 769-0584
Laboratory LocationLas Vegas Family Home Health LLC1650 E Sahara Ave Ste 4A, Las Vegas, NV 89104
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

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

KIERRA S THOMAS
Technician (Personal Care Attendant)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
LAS VEGAS FAMILY HOME CARE LLC
Chore Provider
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
PERCINA TRICE RANKIN
Technician (Attendant Care Provider)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
REBECCA S SEUMANU
Technician (Personal Care Attendant)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
VICTORIA S STEVENS
Technician (Personal Care Attendant)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
WILBER OMAR ROJAS
Technician (Personal Care Attendant)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
LAS VEGAS FAMILY HOME CARE LLC
Technician (Personal Care Attendant)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584
TANIA GORT-TIMIRAOS
Technician (Personal Care Attendant)
1650 E SAHARA AVE STE 4A
LAS VEGAS, NV 89104
Clark County (702) 769-0584

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 Las Vegas Family Home Care LLC's NPI number?

The NPI number for Las Vegas Family Home Care LLC is 1063165801. It was assigned to this organization in the NPPES registry on February 1, 2022. The provider is doing business as Hcbs Waiver For Persons With Frail Elderly.

Where is Las Vegas Family Home Care LLC located?

Las Vegas Family Home Care LLC is located at 1650 E Sahara Ave Ste 4A, Las Vegas, NV 89104. The listed phone number is (702) 769-0584.

What is Las Vegas Family Home Care LLC's specialty?

The primary specialty registered for this NPI is Homemaker with taxonomy code 376J00000X.

Does Las Vegas Family Home Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2311705) is associated with this NPI, valid through September 25, 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 Las Vegas Family Home Care LLC was last updated on May 20, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.