EBONNY HOME HEALTH AGENCY INC SOS Verified
1101 N DECATUR BLVD, LAS VEGAS, NV 89108
NPI Number
1003254400
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: EBONNY HOME HEALTH AGENCY INC
Entity Number: E0278022013-5
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2013-06-05
Status Changed: 2018-01-24
Name Match: 95%
Registered Agent
Name: EBONNY HOME HEALTH AGENCY INC C/O PRESIDENT
Type: Non-Commercial Registered Agent
Address: 3530 E FLAMINGO RD SUITE 105, LAS VEGAS, NV, 89121
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | MOSES IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Inactive |
| Secretary | MOSES IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Inactive |
| Treasurer | MOSES IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Inactive |
| Director | ZHANNA IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Inactive |
| President | MOSES IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Active |
| Secretary | MOSES IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Active |
| Treasurer | MOSES IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Active |
| Director | ZHANNA IRUBOR | 3530 E FLAMINGO #105, LAS VEGAS, NV, 89121 | Active |
Campaign Contributions
$5,363Total Contributed
1Candidates Supported
Corporate Matches
Ebonny Home Health AgencyProbable Match
$250 across 1 contribution
| Candidate | Office | Party | Total | Count |
|---|---|---|---|---|
| Lawrence Weekly | Clark County Commissioner, District D | Democratic Party | $250 | 1 |
Officer / Individual Matches
IRUBOR, MOSESProbable Match
Matched via officer: MOSES IRUBOR (President)
$5,113 across 51 contributions
Payments by Year
How much Medicaid paid this provider each year. Large jumps can indicate changes in practice volume or billing patterns.
| Year | Total Paid | % of Max |
|---|---|---|
| 2018 | $0 | |
| 2019 | $0 | |
| 2020 | $0 | |
| 2021 | $0 |
Procedure Code Breakdown
The specific medical services this provider billed Medicaid for. Each HCPCS/CPT code represents a different type of visit, test, or treatment.
| HCPCS Code | Description | Claims | Paid | % of Total | Avg per Claim |
|---|---|---|---|---|---|
| Q5001 | Hospice or home health care provided in patient's home/residence | 2,429 | $0 | 0.0% | $0 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 168 | $0 | 0.0% | $0 |
| G0152 | Services performed by a qualified occupational therapist in the home health or hospice setting, each 15 minutes | 567 | $0 | 0.0% | $0 |
| G0493 | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition | 1,808 | $0 | 0.0% | $0 |
| G0496 | Skilled services of a licensed practical nurse (lpn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 14,076 | $0 | 0.0% | $0 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 935 | $0 | 0.0% | $0 |
| G0495 | Skilled services of a registered nurse (rn), in the training and/or education of a patient or family member, in the home health or hospice setting, each 15 minutes | 2,134 | $0 | 0.0% | $0 |