702 HOME HEALTH INC.
NPI 1578053047
Home Health in Las Vegas, NV
- Organization
- Home Health
- CLIA Number: 29D2201365
- CLIA Cert. Type: Home Health Agency
- CLIA Exp. Date: 11-18-2026
About 702 HOME HEALTH INC.
This page provides the complete NPI Profile along with additional information for 702 Home Health Inc., a provider established in Las Vegas, Nevada operating as a Home Health. The healthcare provider is registered in the NPI registry with number 1578053047 assigned on May 2018. The practitioner's primary taxonomy code is 251E00000X with license number 8595-HHA-0 (NV). The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Michelle Lim-bargo (Secretary)
- NPI
- 1578053047 Verify this NPI
- Provider Name
- 702 HOME HEALTH INC.
- Entity Type
- Organization
- Location Address
- 2801 S VALLEY VIEW BLVD STE 4 RM 3 LAS VEGAS, NV 89102
- Location Phone
- (702) 354-5478
- Mailing Address
- 8534 BENIDORM AVE LAS VEGAS, NV 89178
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-10-2018
- Last Update Date
- 03-24-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Home Health
- Taxonomy Code
- 251E00000X
- Type
- Agencies
- License No.
- 8595-HHA-0
- License State
- NV
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 29D2201365
- Facility Type
- Home Health Agency
- Certificate Effective Date
- November 19, 2024
- Certificate Expiration Date
- November 18, 2026
- Laboratory Director
- CESAR NOEL ESTILLORE
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to 702 Home Health Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1578053047, enumerated as an "organization" on May 10, 2018.
The provider is located at 2801 S VALLEY VIEW BLVD STE 4 RM 3 LAS VEGAS, NV 89102 and the phone number is (702) 354-5478.
Home Health with taxonomy code 251E00000X.
