NPIMap

Organization Active NPI

Transitional Hospitals Corporation of Nevada LLC

Doing business as Kindred Hospital-Las Vegas at St. Rose Dominican Hospital-Rose de Lima

  • Long Term Care Hospital
  • Henderson, NV
National Provider Identifier
1801974340
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
License
4131HOS-0 Issued in NV
Legal business name
TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
Doing business as
Kindred Hospital-Las Vegas at St. Rose Dominican Hospital-Rose de Lima
Practice address
102 E Lake Mead Pkwy
Third Floor
Henderson, NV 89015
Phone
(702) 856-0633
Fax
(702) 856-0253
NPI assigned
Nov 1, 2006
Last updated
Dec 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Authorized official

Name
Mr. Terrance K. Dillon
Title
Assistant Secretary
Phone
(502) 596-7220

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X 4131HOS-0 NV Primary

Addresses

Primary practice location

102 E Lake Mead Pkwy
Third Floor
Henderson, NV 89015

Mailing address

102 E Lake Mead Pkwy
Third Floor
Henderson, NV 89015-5575
Phone (702) 856-0633

Other identifiers 2

IdentifierTypeStateIssuer
292002OtherNVBLUE CROSS
100507367MedicaidNV

Other names 1

  • Kindred Hospital-Las Vegas at St. Rose Dominican Hospital-Rose de Lima Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090313000424 NV Part A Provider - Hospital 2466544770 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Las Vegas, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1801974340. Details of each certification follow.

Hospital certification: CCN 292002

Legal name
TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC
Doing business as
KINDRED HOSPITAL LAS VEGAS SAHARA CAMPUS
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Sep 1, 1994
Last certification
Feb 16, 2021
Beds
146
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Enrollment address
5110 W Sahara Ave
Las Vegas, NV 89146-3406
Main/Primary Hospital Location
Hospital subgroups
Long-term

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Kindred Hospital - Las Vegas (Sahara Campus)CCN 292002 · All quality measures
Ownership
For profit
Certified
Sep 1, 1994
Medicare certification status
ActiveFrom the Provider of Services file
Beds
146

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 14

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

NameRoleSinceShare
Kindred Healthcare Operating LLC Organization, Louisville, KY LLC 5% Or Greater Direct Ownership Interest Feb 26, 1998 100%
Kentucky Hospital Intermediate LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Allah Wazwaz Individual W-2 Managing EmployeeHospital Ceo/Administrator Jun 1, 2021
Kindred Healthcare LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Mar 27, 1998 100%
Scott Graeser Individual Corporate OfficerVice President, Treasurer Aug 19, 2022
Dana M Rock Individual Corporate OfficerAssistant Administrator Dec 9, 2024
Johnetta M Traylor Individual Corporate OfficerAdministrator Dec 9, 2024
Kentucky Hospital Holdings LLC Organization, Fort Worth, TX For-profit 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Deanna Schiavone Individual Corporate OfficerChief Financial Officer Aug 22, 2022
Knight Health Holdings LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Michael Joseph Bean Individual Corporate OfficerVP Tax Dec 14, 2004
Knight Health LLC Organization, Louisville, KY LLC 5% Or Greater Indirect Ownership Interest Dec 23, 2021 100%
Kentucky Hospital Holdings JV LP Organization, Fort Worth, TX 5% Or Greater Indirect Ownership Interest Jul 2, 2018 100%
Linn Billingsley Individual Corporate DirectorPresident Sep 1, 2025

Practitioners & affiliated clinicians

Affiliated clinicians 12

Clinicians who list this facility as an affiliation in Medicare Care Compare.

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": "1639353600000",
    "number": "1801974340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "102 E LAKE MEAD PKWY",
            "address_2": "THIRD FLOOR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890155575",
            "telephone_number": "702-856-0633",
            "fax_number": "702-856-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 E LAKE MEAD PKWY",
            "address_2": "THIRD FLOOR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "89015",
            "telephone_number": "702-856-0633",
            "fax_number": "702-856-0253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL HOSPITALS CORPORATION OF NEVADA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-01",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A",
        "authorized_official_last_name": "DILLON",
        "authorized_official_first_name": "TERRANCE",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "502-596-7220",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NV",
            "license": "4131HOS-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "292002",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100507367",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kindred Hospital-Las Vegas at St. Rose Dominican Hospital-Rose de Lima",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kindred Hospital-Las Vegas at St. Rose Dominican Hospital-Rose de Lima",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.