Organization Active NPI

Dignity Health

Doing business as St. Rose Dominican Home Health Services

  • Home Health Agency
  • Las Vegas, NV
National Provider Identifier
1780761403
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
617HHA-14 Issued in NV
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, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
353676500OtherNVUS DEPT. OF LABOR
002902005MedicaidNV
880059427OtherIRS - TAX ID

Other names 1

  • St. Rose Dominican Home Health Services Doing business as

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.

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

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.

Verify at the official NPI Registry.