Organization
DIGNITY HEALTH
Active
Parent organization
DIGNITY HEALTH
Other names
St. Rose Dominican Home Health Services
Organization subpart
Yes
Provider details
NPI number
Legal business name
DIGNITY HEALTH
Authorized official
KEVIN WALTERS (CHIEF FINANCIAL OFFICER)
(702) 616-5507
Entity
Organization
Contact information
Practice address
1776 E WARM SPRINGS RD, SUITE 202, LAS VEGAS, NV 89119-4676
(702) 616-4397
(702) 616-4489
Mailing address
1776 E WARM SPRINGS RD, SUITE 202, LAS VEGAS, NV 89119-4676
(702) 616-4397
(702) 616-4489
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
617HHA-14
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002902005
—
NV
01
—
353676500
US DEPT. OF LABOR
NV
01
—
880059427
IRS - TAX ID
—
Enumeration date
11/01/2006
Last updated
10/29/2014
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