STATE OF NEVADA


Address: 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008
Phone: 7756874210

STATE OF NEVADA (NPI# 1114309432) 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) 1114309432
Entity Type Organization
Organization Name STATE OF NEVADA
Other Organization Name AGING AND DISABILITY SERVICES DIVISION
Practice Address 3416 Goni Rd Bldg D
132
Carson City
NV 89706-8008
Practice Telephone 7756874210
Practice Fax Number 7756870574
Mailing Telephone 7756874210
Mailing Fax Number 7756870574
Enumeration Date 2015-06-23
Last Update Date 2015-06-23
Authorized Official Name MRS. JILL BERNTSON (DEPUTY ADMINISTRATOR)
Authorized Official Telephone 7756870534
Is Organization Subpart Y
Parent Organization Name STATE OF NEVADA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251B00000X Case Management NV Agencies

Other Provider/Organization Names

Other Name Type Code
Aging and Disability Services Division Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1992314264 State of Nevada Community/Behavioral Health 4600 Kietzke Lane Bldg D, Reno, NV 89502 2020-07-23
1821607193 State of Nevada Community/Behavioral Health 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 2020-07-23
1316574064 State of Nevada Psychiatric Residential Treatment Facility 2655 Enterprise Dr, Reno, NV 89512 2020-03-24
1699914887 State of Nevada Case Management 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 2009-02-11
1386805265 State of Nevada Public Health or Welfare 1000 E Williams Street, #205, Carson City, NV 80701 2008-06-23
1558549972 State of Nevada Case Management 100 Depot, #5, Caliente, NV 89008-0000 2008-02-07
1578741179 State of Nevada Case Management 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 2008-02-06
1336203892 State of Nevada Public Health or Welfare 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 2006-12-20
1184706012 State of Nevada Clinic/Center 825 S Main, Tonopah, NV 89049-0494 2006-10-19
1710069646 State of Nevada Clinic/Center 100 Depot #5, Caliente, NV 89008-0000 2006-10-19

Other Data Sources

Entity Type Entity Name Entity Address
System for Award Management (SAM) Entities STATE OF NEVADA RURAL CLINICS 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027

Office Location

Street Address 3416 GONI RD BLDG D
132
City CARSON CITY
State NV
Zip Code 89706-8008

Providers in the same location

NPI Name Taxonomy Address Enumeration
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
1093289928 State of Nv Aging & Disability Sevices Division- Fe Waiver PACE Provider Organization 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 251B00000X
Grouping Agencies
Classification Case Management

Taxonomy Definition

An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1801314828 City of Carson City Case Management 740 S Saliman Rd, Carson City, NV 89701-5097 2017-08-30
1841745387 Child and Family Services Case Management 4126 Technology Way Fl 3, Carson City, NV 89706-2023 2016-08-24
1083071690 State of Nv Aging and Disability Services Division - Atap Case Management 3416 Goni Rd, Suite D 132, Carson City, NV 89706-8008 2016-01-27
1578741179 State of Nevada Case Management 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 2008-02-06
1700350394 State of Nv Aging and Disability Services Division - Atap Case Management 3416 Goni Rd # D-132, Carson City, NV 89706-8008 2019-01-16

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1750908000 Oceans L.L.C. Case Management 9799 Aleutian St, Las Vegas, NV 89178-3844 2020-07-02
1124645999 Community Porch Light Case Management 6263 W Twain Ave, Las Vegas, NV 89103-1153 2020-06-28
1568085140 Nevada We Care Case Management 4080 E Lake Mead Blvd # B-110, Las Vegas, NV 89115-6466 2020-05-18
1497393391 Jade Graver Case Management 4600 Kietzke Ln Bldg D, Reno, NV 89502-5033 2019-12-11
1508409285 Angels Reunited Case Management 3838 Raymert Dr Ste 109, Las Vegas, NV 89121-3247 2019-10-24
1164077541 Akeela Brown Case Management 420 S Jones Blvd, Las Vegas, NV 89107-2658 2019-08-02
1902360373 Deanna Camille Faucett Case Management 6816 White Sands Ave, Las Vegas, NV 89145-5334 2019-01-30
1336617257 Boomerang Behavioral Solutions LLC. Case Management 9436 Rolling Ridge Ln, Las Vegas, NV 89134-0149 2018-11-08
1487121190 Nevada Neurofeedback and Hypnosis LLC Case Management 3085 S Jones Blvd Ste B, Las Vegas, NV 89146-6767 2018-10-31
1356816318 Acts of Kindness Community Services, LLC Case Management 2008 Hamilton Ln Bldg B, Las Vegas, NV 89106-4033 2018-10-05
Find all providers with the same taxonomy

Competitor

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City CARSON CITY
Zip Code 89706

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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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