Active NPI
Willow Haven Health and Rehab LLC
- Skilled Nursing Facility
- Las Vegas, NV
National Provider Identifier
1326911249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- Legal business name
- WILLOW HAVEN HEALTH AND REHAB LLC
- Practice address
- 5538 Duncan Dr
Las Vegas, NV 89130-2812 - Phone
- (702) 645-2606
- NPI assigned
- Sep 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wendy Anderson
- Title
- Corporate Business Director
- Phone
- (801) 360-8804
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | Primary |
Addresses
Primary practice location
5538 Duncan Dr
Las Vegas, NV 89130-2812
Mailing address
947 S 500 E Ste 105
American Fork, UT 84003-3392
Phone (801) 360-8804
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D0941626 | Willow Haven Health and Rehab LLC | Certificate of waiver | Feb 26, 2028 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758844800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758844800000",
"number": "1326911249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "947 S 500 E STE 105",
"city": "AMERICAN FORK",
"state": "UT",
"postal_code": "840033392",
"telephone_number": "801-360-8804"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5538 DUNCAN DR",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891302812",
"telephone_number": "702-645-2606"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WILLOW HAVEN HEALTH AND REHAB LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-26",
"last_updated": "2025-09-26",
"certification_date": "2025-09-26",
"status": "A",
"authorized_official_last_name": "ANDERSON",
"authorized_official_first_name": "WENDY",
"authorized_official_title_or_position": "CORPORATE BUSINESS DIRECTOR",
"authorized_official_telephone_number": "801-360-8804"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.