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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 251T00000X | PACE Provider Organization | Agencies |
Street Address |
3416 GONI RD BLDG D |
City | CARSON CITY |
State | NV |
Zip Code | 89706-8008 |
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 |
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 Code | 251T00000X |
Grouping | Agencies |
Classification | PACE Provider Organization |
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] |
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 |
City | CARSON CITY |
Zip Code | 89706 |
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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.