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ST. AGATHA COMFORT CARE LLC
NPI 1871246850
Hospice Care, Community Based in Henderson, NV

Active since January 31, 2022CLIA 29D2280077 · Waiver
11145 S EASTERN AVE STE 140, HENDERSON, NV 89052(702) 413-7285(702) 413-7284 Get Directions Write a Review

NPPES record last updated: March 8, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 8, 2026, May 19, 2025, Jan 31, 2022 (3 updates tracked since 2022).

About St. Agatha Comfort Care Llc NPPES

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

ST. AGATHA COMFORT CARE LLC (NPI 1871246850) is a healthcare organization registered as a hospice care, community based in Henderson, Nevada and active in the NPI registry since January 2022. The organization holds a CLIA Waiver certificate valid through April 11, 2027 and lists Alex Mauricio, President & Ceo, as its authorized official.

NPPES Registry Identity

NPI1871246850
Entity TypeOrganization
Primary Taxonomy251G00000X
Legal Business NameST. AGATHA COMFORT CARE LLC
Location Address11145 S EASTERN AVE STE 140Henderson, NV 89052-4392
Mailing Address11145 S Eastern Ave Ste 140Henderson, NV 89052-4392 · (702) 413-7285 · Fax (702) 413-7284
Phone(702) 413-7285
Fax(702) 413-7284
Organization SubpartNo
Authorized OfficialAlex MauricioPresident & Ceo · (801) 325-0175
Enumeration DateJanuary 31, 2022
Last NPPES UpdateMarch 8, 20263 updates tracked since enumeration
NPPES CertifiedMarch 8, 2026
✔ NPI 1871246850 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospice Care, Community BasedAgencies
Taxonomy Code251G00000X
11145 S EASTERN AVE STE 140, Henderson, NV 89052
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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 29D2280077

St Agatha Comfort Care, LLC Dba Bristol Hospice - Las Vegas · Henderson, NV
Active · expires Apr 11, 2027
CLIA Number29D2280077
Laboratory TypeHospice
Certificate Effective DateApril 12, 2025
Certificate Expiration DateApril 11, 2027
Laboratory DirectorKovin Huynh
Laboratory Phone(702) 413-7285
Laboratory LocationSt Agatha Comfort Care, LLC Dba Bristol Hospice - Las Vegas11145 S Eastern Ave Ste 140, 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 Comfort Care LLC's NPI number?

The NPI number for St. Agatha Comfort Care LLC is 1871246850. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is St. Agatha Comfort Care LLC located?

St. Agatha Comfort Care LLC is located at 11145 S Eastern Ave Ste 140, Henderson, NV 89052. The listed phone number is (702) 413-7285.

What is St. Agatha Comfort Care LLC's specialty?

The primary specialty registered for this NPI is Hospice Care, Community Based with taxonomy code 251G00000X.

Does St. Agatha Comfort Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2280077) is associated with this NPI, valid through April 11, 2027. 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 Comfort Care LLC was last updated on March 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.