DE CRAIG RANCH, LLC (NPI# 1578007514) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578007514 |
| Entity Type | Organization |
| Organization Name | DE CRAIG RANCH, LLC |
| Other Organization Name | DIGNITY HEALTH-ST. ROSE DOMINICAN NORTH LAS VEGAS CAMPUS |
| Practice Address |
1550 West Craig Rd North Las Vegas NV 89032 |
| 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 | 2016-12-09 |
| 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 | MEDICARE | 290058 | 01 |
| NV | 1578007514 | 05 |
| Other Name | Type Code |
|---|---|
| Dignity Health-St. Rose Dominican North Las Vegas Campus | Doing Business As Name - Organization |
| Dignity St. Rose - Craig Ranch | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
| 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 |
1550 WEST CRAIG RD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225647290 | Bella Mae Home Care | Home Health | 3438 Midnight Shadows Way, North Las Vegaas, NV 89032 | 2020-07-27 |
| 1083231906 | Betsey Bergquist | Pharmacist | 4040 Martin Luther King Blvd, Ste B, North Las Vegas, NV 89032 | 2020-06-26 |
| 1174144687 | Rosalinda Ross | Technician | 3940 Martin Luther King Blv. #106, N. Lasvegas, NV 89032 | 2020-05-06 |
| 1164055919 | Shanae Ebony Glass | Case Manager/Care Coordinator | 2580 North Rancho, Suite 105-106, North Las Vegas, NV 89032 | 2020-02-20 |
| 1912539347 | Roderick Robbins II | Technician | 3940 N. Martin Luther King Blvd B106, N. Las Vegas, NV 89032 | 2020-02-04 |
| 1578103289 | Caring Hands Adult Day Service LLC | Day Training, Developmentally Disabled Services | 2580 North Rancho Dr, Suite 100, North Las Vegas, NV 89032 | 2020-01-10 |
| 1497397830 | Meagan Elizabeth Hill | Nurse Practitioner | 4060 N Martin Luther King Blvd Ste 101-a, Las Vegas, NV 89032 | 2019-10-16 |
| 1386294106 | Amy Nguyen Optometric Professional Corporation | Optometrist | 4080 N Martin Luther King Blvd, North Las Vegas, NV 89032 | 2019-09-13 |
| 1063060978 | Kathy K Cruz Anderson | Technician | 3940 North Martin Luther King Blvd Suite 106, Las Vegas, NV 89032 | 2019-09-04 |
| 1770131625 | Daniel R Thomas | Technician | 3940 N. Martin Luther King Blvd 106, North Las Vegas, NV 89032 | 2019-09-03 |
| Find all providers in zip 89032 | ||||
| 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 |
|---|---|---|---|---|
| 1346695384 | Cheryle Nichole Peterson | General Acute Care Hospital | 6433 Corrie Canyon St, North Las Vegas, NV 89086-1411 | 2016-04-27 |
| 1053718361 | Prime Healthcare Services North Vista LLC | General Acute Care Hospital | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2014-12-02 |
| 1023451630 | Las Vegas Veterans Administration | General Acute Care Hospital | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2013-04-12 |
| 1538118989 | Las Vegas Vamc | General Acute Care Hospital | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-05-10 |
| 1720037799 | North Vista Hospital Inc | General Acute Care Hospital | 1409 E Lake Mead Blvd, Attn: Iasis Corporate Legal Department, North Las Vegas, NV 89030-7120 | 2006-05-08 |
| 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 |
| 1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
| 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 |
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1336540491 | Vegas Hospital Care LLC | General Acute Care Hospital | 8656 W Patrick Lane, Las Vegas, NV 89148 | 2014-09-09 |
| 1487053195 | Shayleann Parmenter | General Acute Care Hospital | 2735 Lakeside Dr, Apt C, Reno, NV 89509-4271 | 2014-08-19 |
| 1639585912 | Roy Gradney | General Acute Care Hospital | 2929 Cape Verde Ln, Las Vegas, NV 89128-7237 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89032 |
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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.