CORONADO SURGICAL RECOVERY SUITES (NPI# 1396090577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396090577 |
| Entity Type | Organization |
| Organization Name | CORONADO SURGICAL RECOVERY SUITES |
| Practice Address |
2779 W Horizon Ridge Pkwy Ste 130 Henderson NV 89052-4184 |
| Practice Telephone | 7025894975 |
| Mailing Telephone | 7025894975 |
| Enumeration Date | 2012-07-13 |
| Last Update Date | 2012-07-13 |
| Authorized Official Name | DR. MICHAEL JAMES CROVETTI JR. (OWNER) |
| Authorized Official Telephone | 7029902290 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282E00000X | Long Term Care Hospital | NV20101218573 | NV | Hospitals |
| Street Address |
2779 W HORIZON RIDGE PKWY STE 130 |
| City | HENDERSON |
| State | NV |
| Zip Code | 89052-4184 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699726240 | Sunil Kalla | Internal Medicine | 2779 W Horizon Ridge Pkwy, Suite #240, Henderson, NV 89052-4184 | 2006-05-16 |
| 1225572100 | Alex Jeremy Jacobs | Physical Therapist | 2779 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052-4184 | 2016-12-12 |
| 1124451851 | Rachel Elizabeth Hajda | Physical Therapist | 2779 W Horizon Ridge Pkwy, #10, Henderson, NV 89052-4184 | 2013-08-16 |
| 1124375100 | Amanda Henriques | Physical Therapist | 2779 W Horizon Ridge Pkwy, Henderson, NV 89052-4184 | 2012-08-09 |
| 1356696553 | Coronado Surgical LLC | Long Term Care Hospital | 2779 W Horizon Ridge Pkwy, Suite 130, Henderson, NV 89052-4184 | 2012-07-13 |
| 1730484882 | Orthopaedic Solutions LLC | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy, Suite 200, Henderson, NV 89052-4184 | 2011-01-21 |
| 1235363987 | Coronado Surgery Center, LLC | Clinic/Center | 2779 W Horizon Ridge Pkwy, Suite 140, Henderson, NV 89052-4184 | 2009-05-11 |
| 1801046552 | Zinn2020 LLC | Ophthalmology | 2779 W Horizon Ridge Pkwy, Suite 2020, Henderson, NV 89052-4184 | 2008-09-30 |
| 1336396621 | Kayla Amber Fleet | Physical Therapist | 2779 W Horizon Ridge Pkwy, Suite 100, Henderson, NV 89052 | 2008-08-19 |
| 1487788873 | Crovetti Bone and Joint Institute of Southern Nevada | Orthopaedic Surgery | 2779 W Horizon Ridge Pkwy, Ste. 200, Henderson, NV 89052-4380 | 2007-03-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740889112 | Nathan Michael Nasternak | Physical Therapist | 750 Coronado Center Drive, Suite 140, 2212, Henderson, NV 89052 | 2020-10-18 |
| 1558987180 | Braxton Chad Storm | Counselor | 2990 W. Sundridge Heights Pkwy, Suite #140, Henderson, NV 89052 | 2020-06-19 |
| 1558996546 | The Eye Doctor At St. Rose LLC | Eyewear Supplier (Equipment, not the service) | 2645 St. Rose Parkway, Suite C-110, Henderson, NV 89052 | 2020-03-10 |
| 1770138521 | Quinn Dentists of St. Rose, PC | Dentist | 3519 St Rose Parkway, Ste 110, Henderson, NV 89052 | 2019-08-08 |
| 1346802568 | Rickie Kwong Chin Jr. | Optometrist | 695 S. Green Valley Pkwy, Henderson, NV 89052 | 2019-07-08 |
| 1134695646 | Nu Smiles, LLC | Clinic/Center | 2810 W. Horizon Ridge Parkway, Suite #110, Henderson, NV 89052 | 2018-10-23 |
| 1003393497 | Katherine Lee Villarreal | Physical Therapist | 2930 W Horizon Pkwy, Suite 205, Henderson, NV 89052 | 2018-07-27 |
| 1790281889 | Vicki Lorraine Schmidt | Nurse Practitioner | 2900 W. Horizon Ridge Pkwy, Suite 101, Henderson, NV 89052 | 2018-04-05 |
| 1326566969 | Shelby Schiller | Social Worker | 3051 W Horizon Ridge Pkwy Ste 104a, Henderson, NV 89052 | 2017-09-04 |
| 1639696826 | Pca Ventures, LLC | Technician | 2656 Soda Butte Court, Henderson, NV 89052 | 2017-08-28 |
| Find all providers in zip 89052 | ||||
| Taxonomy Code | 282E00000X |
| Grouping | Hospitals |
| Classification | Long Term Care Hospital |
| Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions. |
| Notes: Source: American Hospital Association [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356696553 | Coronado Surgical LLC | Long Term Care Hospital | 2779 W Horizon Ridge Pkwy, Suite 130, Henderson, NV 89052-4184 | 2012-07-13 |
| 1801974340 | Transitional Hospitals Corporation of Nevada, LLC | Long Term Care Hospital | 102 E Lake Mead Pkwy, Third Floor, Henderson, NV 89015 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730736596 | Pam Specialty Hospital of Reno LLC | Long Term Care Hospital | 10101 Double R Blvd Fl 1, Reno, NV 89521-5931 | 2019-08-26 |
| 1952796617 | Las Vegas - Amg Specialty Hospital, LLC | Long Term Care Hospital | 4015 S. Mcleod Dr, Las Vegas, NV 89121-4305 | 2015-03-31 |
| 1033494521 | Thi of Nevada II At Desert Lane LLC | Long Term Care Hospital | 8550 S Eastern Avenue, Las Vegas, NV 89123 | 2011-10-15 |
| 1649563891 | Lifecare Hospital At Tenaya LLC | Long Term Care Hospital | 2500 N Tenaya Way, Las Vegas, NV 89128-0482 | 2011-05-20 |
| 1366520884 | Transitional Hospitals Corporation of Nevada, LLC | Long Term Care Hospital | 5110 W Sahara Ave, Las Vegas, NV 89146 | 2006-11-01 |
| 1386732659 | Thi of Nevada II At Desert Lane, LLC | Long Term Care Hospital | 640 S Martin L King Blvd, Las Vegas, NV 89106-4413 | 2006-10-11 |
| 1609873215 | Progressive Hospital | Long Term Care Hospital | 4015 S Mcleod Dr, Las Vegas, NV 89121-4305 | 2005-06-29 |
| 1154978930 | Pam Specialty Hospital of Las Vegas LLC | Long Term Care Hospital | 2500 N Tenaya Way, Las Vegas, NV 89128-0482 | 2019-08-26 |
| 1831521962 | New Lifecare Hospitals of Northern Nevada LLC | Long Term Care Hospital | 10101 Double R Blvd, 1st Floor, Reno, NV 89521-5931 | 2013-07-31 |
| 1710320619 | New Lifecare Hospital At Tenaya LLC | Long Term Care Hospital | 2500 N Tenaya Way, Las Vegas, NV 89128-0482 | 2013-04-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CORONADO SURGICAL RECOVERY SUITES.
| 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.