GHC OF HENDERSON LLC SOS Verified
2855 W HORIZON RIDGE PKWY, HENDERSON, NV 89052
NPI Number
1508303090
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: GHC OF HENDERSON, LLC
Entity Number: E0256572017-8
Entity Type: Foreign Limited-Liability Company
Entity Status: Active
Formation Date: 2017-05-26
Name Match: 95%
Registered Agent
Name: GHC OF HENDERSON, LLC- CHIEF FINANCIAL OFFICER
Type: Non-Commercial Registered Agent
Address: 2855 W. HORIZON RIDGE PARKWAY, HENDERSON, NV, 89052
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | LOIS MASTROCOLA | 6 HUTTON CENTRE DRIVE SUITE 400, SANTA ANA, CA, 92707 | Active |
| Manager | THOMAS OLDS JR | 6 HUTTON CENTRE DRIVE SUITE 400, SANTA ANA, CA, 92707 | Active |
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 |
|---|---|---|
| 2020 | $0 | |
| 2021 | $0 | |
| 2024 | $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 |
|---|---|---|---|---|---|
| 97535 | Self-care training — learning to do daily activities like dressing, cooking, or bathing | 24 | $0 | 0.0% | $0 |
| Q3014 | Telehealth originating site facility fee | 109 | $0 | 0.0% | $0 |
| 97530 | Therapeutic activities — exercises and tasks to improve daily function | 69 | $0 | 0.0% | $0 |