AVERY HOME HEALTH LLC SOS Verified
5660 W FLAMINGO RD STE A, LAS VEGAS, NV 89103
NPI Number
1720712235
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: Avery Home Health LLC
Entity Number: E16612072021-9
Entity Type: Domestic Limited-Liability Company
Entity Status: Active
Formation Date: 2021-08-05
Status Changed: 2021-08-05
Name Match: 95%
Registered Agent
Name: LAW OFFICE OF JOHN PARK, PLLC
Type: Commercial Registered Agent
Address: 8930 W Sunset Road, Suite 200, Las Vegas, NV, 89148
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| Manager | Maisie Pastrano | 5660 W. Flamingo Rd., Ste. C, Las Vegas, NV | Inactive |
| Manager | Gerard Tabora | 5660 W. Flamingo Rd., Ste. C, Las Vegas, NV | Inactive |
| Manager | Maisie Pastrano | 5660 W. Flamingo Rd., Ste. A, Las Vegas, NV | Active |
| Manager | Gerard Tabora | 5660 W. Flamingo Rd., Ste. A, 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 |
|---|---|---|
| 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 | 352 | $0 | 0.0% | $0 |
| G0151 | Services performed by a qualified physical therapist in the home health or hospice setting, each 15 minutes | 459 | $0 | 0.0% | $0 |
| G0157 | Services performed by a qualified physical therapist assistant in the home health or hospice setting, each 15 minutes | 127 | $0 | 0.0% | $0 |
| G0493 | Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition | 221 | $0 | 0.0% | $0 |
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 1,176 | $0 | 0.0% | $0 |