NPIMap

Organization Active NPI

Thi of Nevada at Las Vegas I, LLC

Doing business as Harmon Hospital

  • Skilled Nursing Facility
  • Las Vegas, NV
National Provider Identifier
1598852774
Registry record updated Feb 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
THI OF NEVADA AT LAS VEGAS I, LLC
Doing business as
Harmon Hospital
Practice address
2170 E Harmon Ave
Las Vegas, NV 89119-7840
Phone
(702) 794-0100
Fax
(702) 794-0041
NPI assigned
Oct 7, 2006
Last updated
Feb 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2013

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

Authorized official

Name
Melissa Ray
Title
President
Phone
(702) 794-0100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NU Primary

Addresses

Primary practice location

2170 E Harmon Ave
Las Vegas, NV 89119-7840

Mailing address

920 Ridgebrook Rd
Sparks, MD 21152-9390
Phone (410) 773-1000

Other identifiers 1

IdentifierTypeStateIssuer
001902900MedicaidNV

Other names 1

  • Harmon Hospital Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050526000160 NV Part A Provider - Skilled Nursing Facility 4688574056 Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1598852774. Details of each certification follow.

Skilled nursing facility certification: CCN 295048

Legal name
THI OF NEVADA AT LAS VEGAS I, LLC
Doing business as
HARMON HOSPITAL
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Feb 23, 1990
Last certification
Jan 30, 2025
Beds
10
Ownership / control type
Corporation
Multi-facility organization
THI dba Fundamental Healthcare
Organization structure
LLCProprietary
Incorporated
Jun 20, 2003 in DE
Enrollment address
2170 E Harmon Ave
Harmon Medical and Rehabilitation Hospital
Las Vegas, NV 89119-7840
Nursing home name
HARMON HOSPITAL - SNF
Affiliated entity
FUNDAMENTAL HEALTHCARE

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Harmon Hospital - SNFCCN 295048 · All quality measures
Overall star rating
5 of 5
Health inspections
5 of 5
Staffing
4 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Feb 23, 1990
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
106.2 residents per day on average
Chain
Fundamental Healthcare66 facilities in the chain
Penalties (3 years)
1Fines totaling $8,018

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory
Tax ID family
Harmon Hospital2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Thi of Nevada LLC Organization, Las Vegas, NV For-profit 5% Or Greater Direct Ownership Interest Aug 30, 2003 100%
Murray Forman Individual 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%
Deana Wilkins Individual Corporate OfficerVice President Apr 23, 2018
W-2 Managing EmployeeAdministrator/Vice President Apr 23, 2018
Thi of Baltimore, Inc. Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Aug 30, 2003 100%
Hunt Valley Holdings LLC Organization, Sparks, MD For-profit 5% Or Greater Indirect Ownership Interest Mar 28, 2006 100%

Facilities with the same owner 40

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

View all 40

Practitioners & affiliated clinicians

Practitioners 3

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": "1160179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1598852774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2170 E HARMON AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891197840",
            "telephone_number": "702-794-0100",
            "fax_number": "702-794-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA AT LAS VEGAS I, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-07",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "702-794-0100"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001902900",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Harmon Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.