NPIMap

Organization Active NPI

De Craig Ranch LLC

Doing business as Dignity Health - St. Rose Dominican North Durango Campus

  • General Acute Care Hospital
  • Las Vegas, NV
National Provider Identifier
1073329223
Registry record updated Jul 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
DE CRAIG RANCH LLC
Doing business as
Dignity Health - St. Rose Dominican North Durango Campus
Practice address
6675 N Durango Dr
Las Vegas, NV 89149-4430
Phone
(713) 929-2076
NPI assigned
Dec 3, 2024
Last updated
Jul 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2026

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

Authorized official

Name
Tina Johnson
Title
Sr Med Staff Enrollment Coordinator
Phone
(713) 929-2076

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

6675 N Durango Dr
Las Vegas, NV 89149-4430

Mailing address

8686 New Trails Dr Ste 100
The Woodlands, TX 77381-1195
Phone (713) 929-2076

Other names 1

  • Dignity Health - St. Rose Dominican North Durango Campus Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170818002615 NV Part A Provider - Hospital 6002183563 4 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV; North Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1073329223. Details of each certification follow.

Hospital certification: CCN 290058

Legal name
DE CRAIG RANCH LLC
Doing business as
DIGNITY HEALTH ST ROSE DOMINICAN NORTH LAS VEGAS CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Oct 23, 2017
Last certification
Oct 23, 2017
Beds
32
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Feb 11, 2016 in NV
Enrollment address
1550 W Craig Rd
Ste 100
North Las Vegas, NV 89032-0329
Other Hospital Practice Location
Hospital subgroups
Acute care

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Rose Dominican Hospitals - North Las VegasCCN 290058 · All quality measures
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

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
29D2325517Dignity Health St Rose Dominican N Durango Campus6675 N Durango Dr, Las Vegas, NV 89149AccreditationMay 18, 2028

National Provider Directory

National Provider Directory
Tax ID family
De Craig Ranch LLC5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

  • De Craig Ranch, LLC

    dba Dignity Health-St Rose Dominican Sahara

    • General Acute Care Hospital
    • Las Vegas, NV
    • NPI 1457895336
    NPD tax ID
  • De Craig Ranch, LLC

    dba Dignity Health-St. Rose Dominican North Las Vegas Campus

    • General Acute Care Hospital
    • North Las Vegas, NV
    • NPI 1578007514
    NPD tax ID
  • De Craig Ranch, LLC

    dba Dignity Health St Rose Dominican West Flamingo Campus

    • General Acute Care Hospital
    • Las Vegas, NV
    • NPI 1740724780
    NPD tax ID
  • De Craig Ranch, LLC

    dba Dignity Health-St. Rose Dominican Blue Diamond Campus

    • General Acute Care Hospital
    • Las Vegas, NV
    • NPI 1922542968
    NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

  • Dignity Health

    dba Mercy Gilbert Medical Center

    • General Acute Care Hospital
    • Gilbert, AZ
    • NPI 1992735088

    Member Of

    NPD member

Locations

6675 N Durango Dr
Las Vegas, NV 89149
Phone (713) 929-2076

Ownership & related parties

All disclosed owners & managing parties 16

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

NameRoleSinceShare
Homer D Kirby Individual 5% Or Greater Indirect Ownership InterestIn-Direct Owner May 11, 2012 9%
Vanessa Smith Individual Corporate DirectorBoard Member Apr 17, 2020
W-2 Managing Employee Apr 17, 2020
Emerus Group Holdings LP Organization, New York, NY Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2015 49%
Dignity Health Organization, The Woodlands, TX Corporation 5% Or Greater Indirect Ownership Interest May 5, 2016 51%
Victor Schmerbeck Individual Corporate OfficerPresident Feb 15, 2020
W-2 Managing EmployeeBoard Member Feb 15, 2020
John E Buck Individual Corporate OfficerSecretary Jun 16, 2016
W-2 Managing Employee May 16, 2016
Emerus Intermediate Holdings Inc Organization, New York, NY Corporation, Holding company 5% Or Greater Indirect Ownership Interest Sep 1, 2015 49%
Toby R Hamilton Individual 5% Or Greater Indirect Ownership Interest Sep 1, 2015 5.92%
Jaba Interest LLC Organization, The Woodlands, TX LLC 5% Or Greater Indirect Ownership Interest Oct 16, 2015 10%
Hemant Vankawala Individual 5% Or Greater Indirect Ownership InterestIn-Direct Owner May 11, 2012 7%
Linda Tautz Individual Corporate DirectorBoard Member Jun 2, 2021
Brian D Kleven Individual Corporate OfficerSecretary Aug 2, 2022
Corporate DirectorBoard Member Dec 12, 2019
Emerus Investment Company V, LLC Organization, The Woodlands, TX Corporation 5% Or Greater Indirect Ownership Interest May 4, 2016 49%
Emerus Holdings, Inc. Organization, The Woodlands, TX Corporation, For-profit 5% Or Greater Indirect Ownership Interest Sep 1, 2015 49%
Welsh Carson Anderson & Stowe XII, LP Organization, New York, NY 5% Or Greater Indirect Ownership Interest Sep 1, 2015 19.37%
De JV LLC Organization, The Woodlands, TX For-profit 5% Or Greater Direct Ownership Interest May 5, 2016 100%

Subparts reporting this organization as parent 4

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Affiliated clinicians 93

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

View all 93

NPI Registry JSON

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

{
    "created_epoch": "1733184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784160000000",
    "number": "1073329223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8686 NEW TRAILS DR STE 100",
            "city": "THE WOODLANDS",
            "state": "TX",
            "postal_code": "773811195",
            "telephone_number": "713-929-2076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6675 N DURANGO DR",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494430",
            "telephone_number": "713-929-2076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DE CRAIG RANCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-03",
        "last_updated": "2026-07-16",
        "certification_date": "2026-07-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "TINA",
        "authorized_official_title_or_position": "SR MED STAFF ENROLLMENT COORDINATOR",
        "authorized_official_telephone_number": "713-929-2076"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dignity Health - St. Rose Dominican North Durango Campus",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.