DE CRAIG RANCH, LLC (NPI# 1457895336) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457895336 |
| Entity Type | Organization |
| Organization Name | DE CRAIG RANCH, LLC |
| Other Organization Name | DIGNITY HEALTH-ST ROSE DOMINICAN SAHARA |
| Practice Address |
4980 W Sahara Ave Las Vegas NV 89102 |
| Mailing Address |
8686 New Trails Dr Suite 100 The Woodlands TX 77381-1176 |
| Practice Telephone | 7136371146 |
| Practice Fax Number | 2812985311 |
| Mailing Telephone | 7136371146 |
| Mailing Fax Number | 2812985311 |
| Enumeration Date | 2016-12-12 |
| Last Update Date | 2018-10-23 |
| Authorized Official Name | JOHN BUCK (PRESIDENT) |
| Authorized Official Telephone | 7136371004 |
| Is Organization Subpart | Y |
| Parent Organization Name | DE CRAIG RANCH, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1457895336 | 05 | |
| NV | MEDICARE | 29-0058 | 01 |
| Other Name | Type Code |
|---|---|
| Dignity Health-St Rose Dominican Sahara | Doing Business As Name - Organization |
| Dignity St. Rose - Sahara | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578007514 | De Craig Ranch, LLC | General Acute Care Hospital | 1550 West Craig Rd, North Las Vegas, NV 89032 | 2016-12-09 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1740724780 | De Craig Ranch, LLC | General Acute Care Hospital | 9880 W Flamingo Rd, Las Vegas, NV 89147 | 2016-12-09 |
| Street Address |
4980 W SAHARA AVE |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89102 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609477207 | Vituity - Nevada Koury & Partners Pllc | Emergency Medicine | 4980 W Sahara Ave, Las Vegas, NV 89146-3402 | 2020-11-02 |
| 1174137442 | Sean Kehl | Specialist/Technologist | 4980 W Sahara Ave, Las Vegas, NV 89146-3402 | 2020-09-03 |
| 1447878533 | Joy Katherine Venglik | Nurse Practitioner | 4980 W Sahara Ave, Las Vegas, NV 89146-3402 | 2020-07-06 |
| 1770071912 | Clark Schillinger Emergency Group, PC | Physician Assistant | 4980 W Sahara Ave, Las Vegas, NV 89146-3462 | 2018-04-24 |
| 1457853913 | Pr Acquisition Corporation | Clinic/Center | 4980 W Sahara Ave, Las Vegas, NV 89146-3462 | 2018-03-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851998397 | Natasha Moore | Technician | 3210 W Charleston Suite 2, Las Vegas, NV 89102 | 2020-10-07 |
| 1568077113 | Zulma Yaneth Tervizo Lopez | Technician | 455 W Oakey Blvd, Ste 111, Las Vegas, NV 89102 | 2020-09-10 |
| 1922629765 | Bianca Vaudreuil | Religious Nonmedical Practitioner | 3210 W Charleston Ste 2, Las Vegas, NV 89102 | 2020-05-04 |
| 1720608052 | Angelica Gutierrez | Technician | Vegas Compassionate Care ; 2820 W. Charleston Blvd B-21, Las Vegas, NV 89102 | 2020-04-16 |
| 1396370680 | Juana Maria Hernandez | Technician | 2881 S. Valley View Blvd, Suite #6, Las Vegas, NV 89102 | 2020-03-06 |
| 1609409648 | Janie Washington | Technician | 3210 W Charleston Blvd. Suite 2, Las Vegas, NV 89102 | 2020-02-18 |
| 1447893185 | Maria Josefina Castaneda | Technician | 2881 S. Valley View Blvd Suite #6, Los Vegas, NV 89102 | 2019-10-25 |
| 1427608777 | Virginia Hernandez Tolentino | Technician | 4550 W Oakley Blvd, Suite 101 A, Las Vegas, NV 89102 | 2019-09-18 |
| 1972153872 | Gladiola Cardoza Quinones | Technician | 2881 S. Valley View Blvd #6, Las Vegas, NV 89102 | 2019-09-13 |
| 1801445572 | Rafael Roberto Gonzalez Palomino | Homemaker | 4550 W. Oakey Blvd, Suite 111-0, Las Vegas, NV 89102 | 2019-09-05 |
| Find all providers in zip 89102 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605229 | Ronald Kenan | General Acute Care Hospital | 533 Shewsbury Ave, Las Vegas, NV 89178-2414 | 2020-10-08 |
| 1407363070 | Hirk LLC | General Acute Care Hospital | 7220 Mira Vista St, Las Vegas, NV 89120-3025 | 2018-01-04 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1346604790 | Jean-marie Swaine, LLC | General Acute Care Hospital | 2450 Granada Bluff Ct, Las Vegas, NV 89135-1341 | 2016-04-12 |
| 1023479755 | Anesthesiology Consultants, Inc | General Acute Care Hospital | 7220 S Cimarron Rd Ste 230, Las Vegas, NV 89113-2173 | 2016-03-08 |
| 1336540491 | Vegas Hospital Care LLC | General Acute Care Hospital | 8656 W Patrick Lane, Las Vegas, NV 89148 | 2014-09-09 |
| 1639585912 | Roy Gradney | General Acute Care Hospital | 2929 Cape Verde Ln, Las Vegas, NV 89128-7237 | 2014-07-07 |
| 1487771812 | Centennial Hills Hospital Medical Center | General Acute Care Hospital | 6900 N Durango Drive, Las Vegas, NV 89149 | 2007-03-22 |
| 1558453571 | Veterans Administration | General Acute Care Hospital | 5516 Vansville Way, Las Vegas, NV 89130-3601 | 2006-09-28 |
| 1831189638 | Summerlin Hospital Medical Center L L C | General Acute Care Hospital | 657 Town Center Dr, Las Vegas, NV 89144 | 2005-10-24 |
| Find all providers in LAS VEGAS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.