Healthcare Provider Details
I. General information
NPI: 1477460970
Provider Name (Legal Business Name): CRIMSON HEIGHTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/27/2026
Last Update Date: 08/27/2026
Certification Date: 08/27/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
840 PINNACLE CT STE 4A
MESQUITE NV
89027-3322
US
IV. Provider business mailing address
348 E 600 S
ST GEORGE UT
84770-3949
US
V. Phone/Fax
- Phone: 435-705-7574
- Fax:
- Phone: 435-705-7574
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 373H00000X |
| Taxonomy | Day Training/Habilitation Specialist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RYAN
R
RUUD
Title or Position: OWNER
Credential:
Phone: 435-705-7574