Active NPI
Dignity Health
Doing business as St. Rose Dominican Home Health Services
- Home Health Agency
- Las Vegas, NV
National Provider Identifier
1780761403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 617HHA-14
- Legal business name
- DIGNITY HEALTH
- Doing business as
- St. Rose Dominican Home Health Services
- Practice address
- 1776 E Warm Springs Rd
Suite 202
Las Vegas, NV 89119-4676 - Phone
- (702) 616-4397
- Fax
- (702) 616-4489
- NPI assigned
- Nov 1, 2006
- Last updated
- Oct 29, 2014
- Organization subpart
- Yes
- Parent organization
- DIGNITY HEALTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kevin Walters
- Title
- Chief Financial Officer
- Phone
- (702) 616-5507
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | 617HHA-14 | NV | Primary |
Addresses
Primary practice location
1776 E Warm Springs Rd
Suite 202
Las Vegas, NV 89119-4676
Mailing address
1776 E Warm Springs Rd
Suite 202
Las Vegas, NV 89119-4676
Phone (702) 616-4397
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 353676500 | Other | NV | US DEPT. OF LABOR |
| 002902005 | Medicaid | NV | |
| 880059427 | Other | IRS - TAX ID |
Other names 1
- St. Rose Dominican Home Health Services
National Provider Directory
National Provider Directory- Part of
- Mercy Medical Ctr
Member of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
Member Of
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1414540800000",
"number": "1780761403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1776 E WARM SPRINGS RD",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194676",
"telephone_number": "702-616-4397",
"fax_number": "702-616-4489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1776 E WARM SPRINGS RD",
"address_2": "SUITE 202",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891194676",
"telephone_number": "702-616-4397",
"fax_number": "702-616-4489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DIGNITY HEALTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "DIGNITY HEALTH",
"enumeration_date": "2006-11-01",
"last_updated": "2014-10-29",
"status": "A",
"authorized_official_last_name": "WALTERS",
"authorized_official_first_name": "KEVIN",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "702-616-5507"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NV",
"license": "617HHA-14",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US DEPT. OF LABOR",
"identifier": "353676500",
"state": "NV"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "002902005",
"state": "NV"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IRS - TAX ID",
"identifier": "880059427",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "St. Rose Dominican Home Health Services",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Las Vegas, NV
- Dignified Home Care, LLC
- Dignified Medical Equipment LLC
- Dignity Care Home LLC
- Dignity Health (St. Rose Hospice)
- Dignity Health (St. Rose Dominican Hospital, San Martin Campus)
- Dignity Health Medical Group Nevada LLC
- Dignity Health Medical Group Nevada LLC
- Dignity Health Medical Group Nevada LLC
- Dignity Home Care of Nevada, LLC
- Dignity Home Health LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.