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EAGLE HOME HEALTH AGENCY INC SOS Verified

Home Health ยท LAS VEGAS, NV

222 S RAINBOW BLVD SUITE 202, LAS VEGAS, NV 89145

NPI Number
1619355047
Street View of 222 S RAINBOW BLVD SUITE 202, LAS VEGAS, NV 89145

Practice location · View on Google Maps

SOS Verification: Verified
Entity Name: EAGLE HOME HEALTH AGENCY, INC.
Entity Number: E0449422013-0
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2013-09-16
Status Changed: 2015-11-10
Name Match: 95%
Registered Agent
Name: OGHOCHUKWUYEM OGBANZU
Type: Non-Commercial Registered Agent
Address: 5235 FROSTWOOD LANE, North Las Vegas, NV, 89031
Officers / Principals
TitleNameAddressStatus
PresidentOGHOCHUKWUYEM OGBANZU222 SOUTH RAINBOW BLVD, LAS VEGAS, NV, 89145Active
TreasurerOGHOCHUKWUYEM OGBANZU222 SOUTH RAINBOW BLVD, SUITE, SUITE 202, LAS VEGAS, NVActive
DirectorOGHOCHUKWUYEM OGBANZU222 SOUTH RAINBOW BLVD,, SUITE 202, LAS VEGAS, NVActive
Authorized SignerOGHOCHUKWUYEM OGBANZU222 SOUTH RAINBOW BLVD, SUITE 202, LAS VEGAS, NVActive
SecretaryOGHOCHUKWUYEM AUGUSTUS OGBANZU8314 Mountain Villiage Street, LAS VEGAS, NVActive
PresidentOGHOCHUKWUYEM OGBANZU8314 Mountain Villiage Street, LAS VEGAS, NVActive

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
2019$0
2020$0
2021$0
2022$0
2023$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
Q5001Hospice or home health care provided in patient's home/residence1,620$0
0.0%
$0
G0300Direct skilled nursing services of a licensed practical nurse (lpn) in the home health or hospice setting, each 15 minutes2,801$0
0.0%
$0
G0493Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition45$0
0.0%
$0
G0299Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes3,872$0
0.0%
$0
G0151Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes169$0
0.0%
$0
Q5002Hospice or home health care provided in assisted living facility17$0
0.0%
$0
G0495Skilled 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 minutes794$0
0.0%
$0