STATE OF NV AGING & DISABILITY SEVICES DIVISION- FE WAIVER


Address: 3416 Goni Rd Bldg D, Carson City, NV 89706-8008
Phone: 7756872487

STATE OF NV AGING & DISABILITY SEVICES DIVISION- FE WAIVER (NPI# 1093289928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1093289928
Entity Type Organization
Organization Name STATE OF NV AGING & DISABILITY SEVICES DIVISION- FE WAIVER
Practice Address 3416 Goni Rd Bldg D
Carson City
NV 89706-8008
Practice Telephone 7756872487
Mailing Telephone 7756872487
Enumeration Date 2019-01-14
Last Update Date 2019-12-30
Authorized Official Name ANIL MANOCHA (ADMINISTRATIVE SERVICES OFFICER)
Authorized Official Telephone 7756872487
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251T00000X PACE Provider Organization Agencies

Office Location

Street Address 3416 GONI RD BLDG D
City CARSON CITY
State NV
Zip Code 89706-8008

Providers in the same location

NPI Name Taxonomy Address Enumeration
1114309432 State of Nevada Case Management 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 2015-06-23
1730653536 State of Nv Aging & Disability Services Division- Adult Residential In Home Supportive Care 3416 Goni Rd Bldg D, Carson City, NV 89706-8008 2019-01-15
1982178844 State of Nv Aging & Disability Services Division- Assisted Living In Home Supportive Care 3416 Goni Rd Bldg D, Carson City, NV 89706-8008 2019-01-14
1316467194 Brook Adie Case Manager/Care Coordinator 3416 Goni Rd Bldg D, Carson City, NV 89706-8008 2017-06-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144795741 Vera Whole Health, Wa PC Clinic/Center 190 E. Winnie Lane, Carson City, NV 89706 2018-10-10
1811339013 Eng Keong Tan Internal Medicine 2874 N Carson St Ste 120, Carson City, NV 89706 2013-07-29
1649583691 Tamara June Nance Marriage & Family Therapist 1047 Mark Way, Carson City, NV 89706 2010-07-20
1992926646 Jack Richard Araza Psychologist 309 East John St. Ste #1, Carson City, NV 89706 2007-05-01
1003939356 Kenneth Anthony Edwards Psychologist 10116 Highway 50 East, Suite 101, Mound House, NV 89706 2007-04-09
1528132065 Raymond B Graber II Dentist 2600 E College Parkway H23, Carson City, NV 89706 2006-11-17
1619511268 Lindsey Michele Benedict Pharmacist 3325 Research Way, Community Health Pharmacy, Carson City, NV 89706 2019-11-06
1598279648 Michelle Rae Tye Behavior Technician 3416 Goni Rd Ste D132, Carson City, NV 89706 2017-11-28
1952720203 Nalini Channapatna Prasanna Social Worker 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706 2014-04-15
1851646657 Farres Nitam Uddin Ahmed Radiology 2874 N Carson St Ste 300, Carson City, NV 89706 2012-07-17
Find all providers in zip 89706

Taxonomy Information

Taxonomy Code 251T00000X
Grouping Agencies
Classification PACE Provider Organization

Taxonomy Definition

A PACE provider organization is a not-for-profit private or public entity that is primarily engaged in providing PACE services(unique capitated managed care benefits for the frail elderly which include comprehensive medical and social services). The following characteristics also apply to a PACE organization. It must: have a governing board that includes community representation; be able to provide complete PACE services regardless of frequency or duration of services; have a physical site to provide adult day services; have a defined service area; have safeguards against conflict of interest; have demonstrated fiscal soundness and have a formal Participant Bill of Rights.
Notes: Source: Centers for Medicare and Medicaid, PACE Fact Sheet http://www.cms.hhs.gov/PACE/Downloads/PACEFactSheet.pdf [7/1/2006: new]

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1023288875 The Promise Fostercare Agency PACE Provider Organization 6008 Fly Fisher St, Las Vegas, NV 89113-1728 2008-03-07
1265808190 Elsube LLC PACE Provider Organization 4132 Solar System St., Nort Las Vegas, NV 89032-0753 2015-08-14

Competitor

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City CARSON CITY
Zip Code 89706

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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