702 HOSPICE CORP SOS Verified
3305 SPRING MOUNTAIN RD 40, LAS VEGAS, NV 89102
NPI Number
1952698151
Practice location · View on Google Maps
SOS Verification: Verified
Entity Name: 702 HOSPICE CORP
Entity Number: E0281492011-3
Entity Type: Domestic Corporation
Entity Status: Active
Formation Date: 2011-05-16
Status Changed: 2013-08-20
Name Match: 95%
Registered Agent
Name: MIKE WANG
Type: Non-Commercial Registered Agent
Address: 3395 S JONES BLVD #189, LAS VEGAS, NV, 89146
Officers / Principals
| Title | Name | Address | Status |
|---|---|---|---|
| President | VANESSA CASTRO | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| Treasurer | VANESSA CASTRO | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| Director | VANESSA CASTRO | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| Secretary | LORNA DE LEON | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| President | VANESSA CASTRO | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| Secretary | LORNA DE LEON | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| Treasurer | VANESSA CASTRO | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| Director | VANESSA CASTRO | 3305 SPRING MOUNTAIN RD SUITE 40, LAS VEGAS, NV, 89102 | Inactive |
| President | LORNA DE LEON | 3305 SPRING MOUNTAIN RD SUITE 40, Las Vegas, NV | Inactive |
| President | MIKE WANG | 3305 Spring Mountain Rd Suite 40, Las Vegas, NV | Inactive |
| President | LORNA DE LEON | 2804 VIA TERRA ST, Henderson, NV | Inactive |
| President | IL Lee | 9008 Players Club, Las Vegas, NV | Inactive |
| Secretary | Lorna De Leon | 2804 Via Terra St, Henderson, NV | Inactive |
| President | Lorna De Leon | 2804 Via Terra St, Henderson, NV | Active |
| Secretary | IL HIE LEE | 9008 Players Club Dr, Las Vegas, NV | Inactive |
| Secretary | Adrian Bernardo | 3305 Spring Mountain Rd., Las Vegas, NV | Inactive |
| Officer | Vanessa Castro | 3305 Spring Mountain Rd. Ste 40, Las Vegas, NV | Inactive |
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 | |
| 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 |
|---|---|---|---|---|---|
| G0299 | Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting, each 15 minutes | 3,695 | $0 | 0.0% | $0 |
| G0155 | Services of clinical social worker in home health or hospice settings, each 15 minutes | 241 | $0 | 0.0% | $0 |
| G0156 | Services of home health/hospice aide in home health or hospice settings, each 15 minutes | 5,074 | $0 | 0.0% | $0 |
| Q5001 | Hospice or home health care provided in patient's home/residence | 930 | $0 | 0.0% | $0 |