NPIMap

Organization Active NPI

The Heights of Summerlin, LLC

Doing business as The Heights of Summerlin

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1033295241
Registry record updated Sep 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
4146SNF-17 Issued in NV
Legal business name
THE HEIGHTS OF SUMMERLIN, LLC
Doing business as
The Heights of Summerlin
Practice address
10550 Park Run Drive
Las Vegas, NV 89144
Phone
(702) 515-6200
Fax
(702) 413-6209
NPI assigned
Oct 31, 2006
Last updated
Sep 6, 2017By the provider in NPPES
Organization subpart
Yes
Parent organization
SUMMIT CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 6, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael T. Berg
Title
Assistant Secretary
Phone
(505) 468-4752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 4146SNF-17 NV Primary

Addresses

Primary practice location

10550 Park Run Drive
Las Vegas, NV 89144

Mailing address

10550 Park Run Drive
Las Vegas, NV 89144
Phone (702) 515-6200

Other identifiers 1

IdentifierTypeStateIssuer
100506410MedicaidNV

Other names 1

  • The Heights of Summerlin Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041007000451 NV Part A Provider - Skilled Nursing Facility 3779542501 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1033295241. Details of each certification follow.

Skilled nursing facility certification: CCN 295083

Legal name
THE HEIGHTS OF SUMMERLIN, LLC
Doing business as
THE HEIGHTS OF SUMMERLIN
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Mar 9, 2005
Last certification
Mar 18, 2025
Beds
190
Ownership / control type
Corporation
Organization structure
LLCProprietary
Enrollment address
10550 Park Run Dr
Las Vegas, NV 89144-4575
Nursing home name
THE HEIGHTS OF SUMMERLIN, LLC
Affiliated entity
GENESIS HEALTHCARE

Care Compare: Nursing home

Medicare Care Compare
Listed as
The Heights of Summerlin, LLCCCN 295083 · All quality measures
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
4 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Mar 9, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
190169.4 residents per day on average
Chain
Genesis Healthcare184 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D1039141Heights of Summerlin, the10550 Park Run Dr, Las Vegas, NV 89144Certificate of waiverApr 4, 2027

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
9560 Pico LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 50%
Kimberly K Harris Individual Operational/Managerial Control Dec 6, 2022
Adp of the SNF Dec 6, 2022
Bold Quail Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 100%
Powerback Rehabilitation LLC Organization, Kennett Square, PA LLC, For-profit Adp of the SNF Feb 1, 2020
Pico Ar LLC Organization, Los Angeles, CA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 50%
BQ Operations Holdings LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Chain home office, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2020 100%
Newgen LLC Organization, Los Angeles, CA LLC, Holding company, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2021 100%
Newgen Administrative Services, LLC Organization, Los Angeles, CA LLC, For-profit Adp of the SNF Feb 1, 2020
Sundance Rehabilitation Holdco Inc Organization, Kennett Square, PA Corporation, Holding company, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2020 2.6%
Avrohom L Tress Individual 5% Or Greater Indirect Ownership InterestVice President Mar 2, 2020 50%
Operational/Managerial Control Feb 1, 2020
Managing Control - Governing BodyVice President Aug 15, 2023
Adp of the SNF Feb 1, 2020
Pamela Shaw Individual Operational/Managerial Control Feb 1, 2020
Adp of the SNF Feb 1, 2020
Organization, Woodland Hills, CA LLC, For-profit Adp of the SNF Aug 14, 2025
Shekeidra Rotich Individual Operational/Managerial Control Mar 7, 2022
Adp of the SNF Mar 7, 2022
Welltower Op, LLC Organization, Toledo, OH LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2020 2.7%
Zac Properties XI LLC Organization, Philadelphia, PA LLC, For-profit, Owned by another organization or individual Indirect Ownership Interest Feb 1, 2020 3.8%
Steven E Fishman Individual Indirect Ownership Interest Feb 1, 2020 3.8%
Aaron H Robin Individual 5% Or Greater Indirect Ownership InterestPresident Feb 1, 2021 50%
Managing Control - Governing BodyPresident Aug 15, 2023
Mohammed O Najmi Individual Operational/Managerial Control Jan 1, 2011
Adp of the SNF Jan 1, 2011
GHC Holdings LLC Organization, Kennett Square, PA LLC, For-profit, Owned by another organization or individual 5% Or Greater Indirect Ownership Interest Feb 1, 2020 50%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 158

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 158

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 9

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1504656000000",
    "number": "1033295241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10550 PARK RUN DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89144",
            "telephone_number": "702-515-6200",
            "fax_number": "702-413-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10550 PARK RUN DRIVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "89144",
            "telephone_number": "702-515-6200",
            "fax_number": "702-413-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEIGHTS OF SUMMERLIN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SUMMIT CARE LLC",
        "enumeration_date": "2006-10-31",
        "last_updated": "2017-09-06",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "505-468-4752"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "4146SNF-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100506410",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Heights of Summerlin",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.