Provider Demographics
NPI:1225335888
Name:R.U.S.H. ORGANIZATION
Entity Type:Organization
Organization Name:R.U.S.H. ORGANIZATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/RN
Authorized Official - Prefix:
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:HOLLIGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-338-8772
Mailing Address - Street 1:7745 AMBERWOOD PEAK COURT
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89166
Mailing Address - Country:US
Mailing Address - Phone:702-338-8772
Mailing Address - Fax:
Practice Address - Street 1:6212 CAMINO DE ROSA
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89108
Practice Address - Country:US
Practice Address - Phone:702-338-8772
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-02-17
Last Update Date:2011-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVRN50008163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental HealthGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1417253519Medicaid
NV1336303072Medicaid