OrganizationActive
Phenomenal Care Home Health
NPI 1619471141 · Home Health Agency · Las Vegas, NV
Phenomenal Care Home Health is a Home Health Agency organization in Las Vegas, NV (NPI 1619471141).
Provider details
- NPI number
- 1619471141
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimberly Broussard, Ceo / Owner(702) 613-0468
Specialties & taxonomies
Agencies
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
501 S Rancho Dr Ste D19
Las Vegas, NV 89106-4832
Phone: (702) 613-0474
Fax: (702) 553-3484
Street-level locationGet directions
Mailing address
501 S Rancho Dr Ste D19
Las Vegas, NV 89106-4832
Registry dates
- Enumerated
- 2018-03-20
- Last updated
- 2018-03-20
Frequently asked questions
- What is Phenomenal Care Home Health's NPI number?
- Phenomenal Care Home Health's National Provider Identifier (NPI) is 1619471141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Phenomenal Care Home Health?
- Phenomenal Care Home Health is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Phenomenal Care Home Health located?
- Phenomenal Care Home Health's practice location on file with NPPES is 501 S Rancho Dr Ste D19, Las Vegas, NV 89106-4832.
- What is Phenomenal Care Home Health's phone number?
- The practice phone number listed in the NPPES registry for Phenomenal Care Home Health is (702) 613-0474.
- Who is the authorized official for Phenomenal Care Home Health?
- The authorized official listed on Phenomenal Care Home Health's NPPES record is Kimberly Broussard, Ceo / Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Phenomenal Care Home Health's NPI active?
- Yes — Phenomenal Care Home Health's NPI (1619471141) is active in the NPPES registry as of the last update on 2018-03-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.