LIBERTY CREEK HOSPICE, LLC SOS Verified
2310 PASEO DEL PRADO STE A203, LAS VEGAS, NV 89102
NPI Number
1700232402
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: LIBERTY CREEK HOSPICE, LLC
Entity Number: E0168712016-8
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2016-04-13
Name Match: 95%
Registered Agent
Name: NYMPHA GARCIA
Type: Non-Commercial Registered Agent
Address: 200 POPOLO DRIVE, LAS VEGAS, NV, 89138
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Mmember | NYMPHA GARCIA | 2310 PASEO DEL PRADO, suite A201, Las Vegas, NV | Active |
| Mmember | CELESTINE CABATU | 2310 PASEO DEL PRADO, suite A201, Las Vegas, NV | Active |
| Mmember | JOHN CABATU | 2310 PASEO DEL PRADO, suite A201, Las Vegas, NV | 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 |
|---|---|---|
| 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 |
|---|---|---|---|---|---|
| Q5001 | Hospice or home health care provided in patient's home/residence | 766 | $0 | 0.0% | $0 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 9,306 | $0 | 0.0% | $0 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 3,433 | $0 | 0.0% | $0 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 617 | $0 | 0.0% | $0 |