1. Home
  2. Directory
  3. Nevada
  4. Henderson
  5. Long Term Care Hospital
  6. NPI Profile

CORONADO SURGICAL LLC
NPI 1356696553
Long Term Care Hospital in Henderson, NV

Active since July 13, 2012CLIA 29D2042254 · Waiver
2779 W HORIZON RIDGE PKWY, SUITE 130, HENDERSON, NV 89052(702) 589-4975(702) 589-4978 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Coronado Surgical Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORONADO SURGICAL LLC (NPI 1356696553) is a healthcare organization registered as a long term care hospital in Henderson, Nevada and active in the NPI registry since July 2012. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Michael James Crovetti, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1356696553
Entity TypeOrganization
Primary Taxonomy282E00000X
Legal Business NameCORONADO SURGICAL LLC
Location Address2779 W HORIZON RIDGE PKWY, SUITE 130Henderson, NV 89052-4184
Mailing Address2779 W Horizon Ridge Pkwy, Suite 130Henderson, NV 89052-4184 · (702) 932-8370 · Fax (702) 932-8377
Phone(702) 589-4975
Fax(702) 589-4978
Organization SubpartYesParent: Coronado Surgical Recovery Suites
Authorized OfficialMichael James CrovettiManaging Member · (702) 990-2290
Enumeration DateJuly 13, 2012
Last NPPES UpdateMarch 28, 2025
NPPES CertifiedMarch 28, 2025
✔ NPI 1356696553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLong Term Care HospitalHospitals
Taxonomy Code282E00000X
License✔ Licensed in NV · NV20111055516
Definition
Long-term care hospitals (LTCHs) furnish extended medical and rehabilitative care to individuals who are clinically complex and have multiple acute or chronic conditions.
2779 W HORIZON RIDGE PKWY, Henderson, NV 89052
Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 29D2042254

Coronado Surgical Recovery Suites · Henderson, NV
Active · expires Jun 6, 2028
CLIA Number29D2042254
Laboratory TypeSurg Recovery Suites
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorMichael J. Crovetti
Laboratory Phone(702) 589-4975
Laboratory LocationCoronado Surgical Recovery Suites2779 W Horizon Ridge Pkwy Ste 130, Henderson, NV 89052
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMANDA HENRIQUES
Physical Therapist
2779 W HORIZON RIDGE PKWY
HENDERSON, NV 89052
Clark County (702) 897-1222
MISS RACHEL ELIZABETH HAJDA PT, DPT
Physical Therapist
2779 W HORIZON RIDGE PKWY, #10
HENDERSON, NV 89052
Clark County (702) 897-1222
ALEX JEREMY JACOBS DPT
Physical Therapist
2779 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052
Clark County (702) 897-1222
CORONADO SURGERY CENTER, LLC
Clinic/Center (Ambulatory Surgical)
2779 W HORIZON RIDGE PKWY, SUITE 140
HENDERSON, NV 89052
Clark County (702) 589-9250
KAYLA AMBER FLEET DPT
Physical Therapist
2779 W HORIZON RIDGE PKWY, SUITE 100
HENDERSON, NV 89052
Clark County (702) 897-1222
CORONADO SURGICAL RECOVERY SUITES
Long Term Care Hospital
2779 W HORIZON RIDGE PKWY, STE 130
HENDERSON, NV 89052
Clark County (702) 589-4975
CROVETTI BONE AND JOINT INSTITUTE OF SOUTHERN NEVADA
Orthopaedic Surgery (Sports Medicine)
2779 W HORIZON RIDGE PKWY, STE. 200
HENDERSON, NV 89052
Clark County (702) 990-2290
SUNIL KALLA MD
Internal Medicine (Cardiovascular Disease)
2779 W HORIZON RIDGE PKWY, SUITE #240
HENDERSON, NV 89052
Clark County (702) 240-6482

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Coronado Surgical LLC's NPI number?

The NPI number for Coronado Surgical LLC is 1356696553. It was assigned to this organization in the NPPES registry on July 13, 2012.

Where is Coronado Surgical LLC located?

Coronado Surgical LLC is located at 2779 W Horizon Ridge Pkwy Suite 130, Henderson, NV 89052. The listed phone number is (702) 589-4975.

What is Coronado Surgical LLC's specialty?

The primary specialty registered for this NPI is Long Term Care Hospital with taxonomy code 282E00000X.

Does Coronado Surgical LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 29D2042254) is associated with this NPI, valid through June 6, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Coronado Surgical LLC was last updated on March 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.