GRAPE HOLDINGS, LLC (NPI# 1770024309) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770024309 |
| Entity Type | Organization |
| Organization Name | GRAPE HOLDINGS, LLC |
| Other Organization Name | SAGE CREEK POST-ACUTE |
| Practice Address |
2350 Ione Road Las Vegas NV 89124 |
| Mailing Address |
100 E San Marcos Blvd 200 San Marcos CA 92069-2986 |
| Practice Telephone | 7027903000 |
| Enumeration Date | 2017-03-15 |
| Last Update Date | 2017-03-15 |
| Authorized Official Name | NICK ANDERSON (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 7604710388 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | NV | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Sage Creek Post-Acute | Doing Business As Name - Organization |
| Street Address |
2350 IONE ROAD |
| City | LAS VEGAS |
| State | NV |
| Zip Code | 89124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164868816 | Chance Kaipo Torres | Counselor | 1200 Harris Spring Rd, Las Vegas, NV 89124 | 2013-05-21 |
| 1922289750 | Sigrid Mohrhardt | Counselor | 13975 Racel St, Las Vegas, NV 89124 | 2007-11-20 |
| 1427336494 | Terry Blakeney | Counselor | 1200 Harris Springs Road, Las Vegas, NV 89124-7817 | 2011-07-25 |
| 1417393604 | Christopher Cole | Counselor | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2013-05-15 |
| 1245848415 | Andrea Raney | Counselor | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2020-07-14 |
| 1114400934 | Dominic Perry | Counselor | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2018-09-07 |
| 1588052401 | Armond R Clark | Substance Abuse Rehabilitation Facility | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2014-12-30 |
| 1740685916 | Skyler Peck | Counselor | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2014-10-29 |
| 1538564190 | Dominic Wilson | Counselor | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2014-10-24 |
| 1629473285 | Zachariah Eukel | Counselor | 1200 Harris Springs Rd, Las Vegas, NV 89124-9215 | 2014-10-24 |
| Find all providers in zip 89124 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331746 | Villas of Las Vegas LLC | Skilled Nursing Facility | 9230 Corbett St # 102, Las Vegas, NV 89149-2337 | 2020-06-18 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1245704626 | Villas of Las Vegas LLC | Skilled Nursing Facility | 9230 Corbett St # 101, Las Vegas, NV 89149-2337 | 2019-01-18 |
| 1881133767 | Mmmt Corporation | Skilled Nursing Facility | 8225 W Robindale Rd, Las Vegas, NV 89113 | 2017-02-13 |
| 1962955013 | Ahc of Paradise Valley LLC | Skilled Nursing Facility | 3455 Pecos Mcleod Interconnect, Las Vegas, NV 89121-3802 | 2016-07-25 |
| 1154783504 | Lee Pradd | Skilled Nursing Facility | 2721 Richfield Blvd, Las Vegas, NV 89102-5970 | 2016-03-24 |
| 1528449998 | Spring Valley Health Care, LLC | Skilled Nursing Facility | 5351 Montessouri St, Las Vegas, NV 89113-1126 | 2015-06-11 |
| 1215324884 | Welbrook Centennial Hills LLC | Skilled Nursing Facility | 6650 Grand Montecito Pkwy, Las Vegas, NV 89149-0210 | 2015-04-22 |
| 1639569452 | Genesis Rehab Services | Skilled Nursing Facility | 4921 Calabash Tree Ct, Las Vegas, NV 89148-1686 | 2015-02-01 |
| 1659787356 | Kindred Nevada, LLC | Skilled Nursing Facility | 5650 S Rainbow Blvd, Las Vegas, NV 89118-1808 | 2014-07-02 |
| 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.