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NPI 1770024309 · live from the CMS NPI Registry

Grape Holdings, LLC

Skilled Nursing Facility in Las Vegas, NV. National Provider Identifier 1770024309, active.

NPI record

NPI1770024309 Type 2 · organization
StatusActive
Primary specialtySkilled Nursing Facility 314000000X
Practice location2350 Ione Road, Las Vegas, NV 89124
Practice phone702-790-3000
Mailing address262 N University Ave # 200, Farmington, UT 84025
EnumeratedMarch 15, 2017
Last updatedAugust 20, 2024
Authorized officialJohn Mitchell, Secretary
Other namesSage Creek Post-Acute

Taxonomies and licenses

TaxonomyCodeLicense
Skilled Nursing Facility primary314000000X— (NV)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.