NPIMap

Organization Active NPI

Coronado Surgical Recovery Suites

  • Long Term Care Hospital
  • Henderson, NV
National Provider Identifier
1396090577
Registry record updated Jul 13, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
NV20101218573 Issued in NV
Legal business name
CORONADO SURGICAL RECOVERY SUITES
Practice address
2779 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052-4184
Phone
(702) 589-4975
NPI assigned
Jul 13, 2012
Last updated
Jul 13, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2012

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

Authorized official

Name
Dr. Michael James Crovetti Jr., D.O.NPI 1033269147
Title
Owner
Phone
(702) 990-2290

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NV20101218573 NV Primary

Addresses

Primary practice location

2779 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052-4184

Mailing address

2779 W Horizon Ridge Pkwy
Ste 130
Henderson, NV 89052-4184
Phone (702) 589-4975

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

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

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1342137600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342137600000",
    "number": "1396090577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524184",
            "telephone_number": "702-589-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2779 W HORIZON RIDGE PKWY",
            "address_2": "STE 130",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890524184",
            "telephone_number": "702-589-4975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORONADO SURGICAL RECOVERY SUITES",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-13",
        "last_updated": "2012-07-13",
        "status": "A",
        "authorized_official_last_name": "CROVETTI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-990-2290",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NV",
            "license": "NV20101218573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.