PRIME HEALTHCARE SERVICES NORTH VISTA LLC (NPI# 1053718361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053718361 |
| Entity Type | Organization |
| Organization Name | PRIME HEALTHCARE SERVICES NORTH VISTA LLC |
| Practice Address |
1409 E Lake Mead Blvd North Las Vegas NV 89030-7120 |
| Practice Telephone | 7026497711 |
| Mailing Telephone | 7026497711 |
| Enumeration Date | 2014-12-02 |
| Last Update Date | 2014-12-02 |
| Authorized Official Name | PREM REDDY (CHAIRMAN/PRESIDENT) |
| Authorized Official Telephone | 9092354400 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 649HOS-34 | NV | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100502301 | 05 | |
| NV | 100502300 | 05 | |
| NV | 100502299 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497153530 | Prime Healthcare Services North Vista LLC | Psychiatric Unit | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2014-12-05 |
| Street Address |
1409 E LAKE MEAD BLVD |
| City | NORTH LAS VEGAS |
| State | NV |
| Zip Code | 89030-7120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538140322 | Douglas Wesley White | Radiology | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2005-11-08 |
| 1184231110 | Antonia Mcnamara | Nurse Practitioner | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2020-09-24 |
| 1134769029 | Jay Salagubang | Registered Nurse | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2020-01-09 |
| 1386119337 | Jermaine Love Williams | Recreation Therapist | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2018-10-05 |
| 1831678242 | Michelle Katherine Artuz | Occupational Therapist | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2018-08-08 |
| 1821515065 | Nethanya Cortez | Social Worker | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030 | 2017-08-28 |
| 1356885222 | Superior Emergency Physicians Harris, Pllc | Emergency Medicine | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2016-12-13 |
| 1598152548 | Anam Mehdi Qazi | Nurse Practitioner | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2015-04-16 |
| 1497153530 | Prime Healthcare Services North Vista LLC | Psychiatric Unit | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2014-12-05 |
| 1477993509 | Phyllis Loretta Seffel-kurr | Physical Therapy Assistant | 1409 E Lake Mead Blvd, North Las Vegas, NV 89030-7120 | 2013-07-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043819063 | Ma Guadalupe Ramos Michel | Technician | 2415 Reynolds Ave #101, Las Vegas, NV 89030 | 2020-10-21 |
| 1558968214 | Arturo Juarez Magana | Technician | 2415 Reynolds Ave Suite 101, Las Vegas, NV 89030 | 2020-10-06 |
| 1669088407 | Olivia Lizbeth Santillan-trinidad | Technician | 2415 Reynolds Ave. Ste #101, Las Vegas, NV 89030 | 2020-09-17 |
| 1508471640 | Fabian Aaron Alvarado-perales | Technician | 2415 Reynolds Ave Ste. 101, Las Vegas, NV 89030 | 2020-09-15 |
| 1063047934 | Adriana Lopez | Technician | 2415 Reynolds Ave., Ste 100, N. Las Vegas, NV 89030 | 2020-03-11 |
| 1881234078 | Blanca E Rangel Silva | Technician | 2810 Equador Ct, Las Vegas, NV 89030 | 2020-01-15 |
| 1598314445 | Julia Gonzalez | Technician | 2415 Reynolds Ave Suiete 100, Las Vegas, NV 89030 | 2019-09-04 |
| 1487201901 | Mayra Gutierrez | Technician | 2415 Reynolds Av. #100, Las Vegas, NV 89030 | 2019-08-20 |
| 1639725799 | Idalia Ruiz | Technician | 2415 Reynolds Ave, Las Vegas, NV 89030 | 2019-08-14 |
| 1548815616 | Rd Prabhu-lata K Shete Mds Ltd | Clinic/Center | 1905 Civic Center Drive, Ste 201, N. Las Vegas, NV 89030 | 2019-08-06 |
| Find all providers in zip 89030 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578007514 | De Craig Ranch, LLC | General Acute Care Hospital | 1550 West Craig Rd, North Las Vegas, NV 89032 | 2016-12-09 |
| 1346695384 | Cheryle Nichole Peterson | General Acute Care Hospital | 6433 Corrie Canyon St, North Las Vegas, NV 89086-1411 | 2016-04-27 |
| 1023451630 | Las Vegas Veterans Administration | General Acute Care Hospital | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2013-04-12 |
| 1538118989 | Las Vegas Vamc | General Acute Care Hospital | 6900 Pecos Rd, North Las Vegas, NV 89086-4400 | 2006-05-10 |
| 1720037799 | North Vista Hospital Inc | General Acute Care Hospital | 1409 E Lake Mead Blvd, Attn: Iasis Corporate Legal Department, North Las Vegas, NV 89030-7120 | 2006-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922605229 | Ronald Kenan | General Acute Care Hospital | 533 Shewsbury Ave, Las Vegas, NV 89178-2414 | 2020-10-08 |
| 1407363070 | Hirk LLC | General Acute Care Hospital | 7220 Mira Vista St, Las Vegas, NV 89120-3025 | 2018-01-04 |
| 1457895336 | De Craig Ranch, LLC | General Acute Care Hospital | 4980 W Sahara Ave, Las Vegas, NV 89102 | 2016-12-12 |
| 1922542968 | De Craig Ranch, LLC | General Acute Care Hospital | 4855 Blue Diamond Rd, Las Vegas, NV 89139 | 2016-12-09 |
| 1346604790 | Jean-marie Swaine, LLC | General Acute Care Hospital | 2450 Granada Bluff Ct, Las Vegas, NV 89135-1341 | 2016-04-12 |
| 1023479755 | Anesthesiology Consultants, Inc | General Acute Care Hospital | 7220 S Cimarron Rd Ste 230, Las Vegas, NV 89113-2173 | 2016-03-08 |
| 1003281452 | Henderson Hospital | General Acute Care Hospital | 1050 West Galleria Drive, Henderson, NV 89011 | 2015-12-10 |
| 1336540491 | Vegas Hospital Care LLC | General Acute Care Hospital | 8656 W Patrick Lane, Las Vegas, NV 89148 | 2014-09-09 |
| 1487053195 | Shayleann Parmenter | General Acute Care Hospital | 2735 Lakeside Dr, Apt C, Reno, NV 89509-4271 | 2014-08-19 |
| 1639585912 | Roy Gradney | General Acute Care Hospital | 2929 Cape Verde Ln, Las Vegas, NV 89128-7237 | 2014-07-07 |
| Find all providers with the same taxonomy | ||||
| City | NORTH LAS VEGAS |
| Zip Code | 89030 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.