BREATH OF LIFE (NPI# 1407201924) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407201924 |
| Entity Type | Organization |
| Organization Name | BREATH OF LIFE |
| Practice Address |
4944 Diana Ct Sparks NV 89436-8634 |
| Mailing Address |
1542 Iratcabal Dr Sparks NV 89436-8637 |
| Practice Telephone | 7753540707 |
| Practice Fax Number | 7756265880 |
| Mailing Telephone | 7753540707 |
| Mailing Fax Number | 7756265880 |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-10-17 |
| Authorized Official Name | BERNADETTE COOPER (SUPPORTED LIVING ARRANGEMENT PROV.) |
| Authorized Official Telephone | 7756265880 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | NV20111404144 | NV | Residential Treatment Facilities |
| Y | 385H00000X | Respite Care | Respite Care Facility |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518205293 | Breath of Life | Chiropractor | 161 Thunder Dr, Suite 104, Vista, CA 92083-6016 | 2013-01-30 |
| 1518241298 | Breath of Life | Home Health | 6400 W Capitol Dr, 102, Milwaukee, WI 53216-2156 | 2011-09-29 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | BREATH OF LIFE BAPTIST CHURCH CORP. | Po Box 145, Hammond, IN 46325 |
| Washington State Corporations | BREATH OF LIFE CHURCH | 65 23rd St Ne, E Wenatchee, WA 98802-4053 |
| Iowa Business Entities | BREATH OF LIFE CHURCH, INC. | 5521 Gordon Ave Nw, Cedar Rapids, IA 52405 |
| Oregon Corporations, Companies and Business Names | BREATH OF LIFE COUNSELING | 3047 Garden Valley Rd, Roseburg, OR 97471 |
| Iowa Business Entities | BREATH OF LIFE DOULA SERVICES, LLC | 2640 1st Ave. S., Apt. 113, Altoona, IA 50009 |
| New York State Corporations | BREATH OF LIFE EXPRESSIONS LLC | 1967 Wehrle Drive, Suite 1-086, Buffalo, Ny 14221 |
| Oregon Corporations, Companies and Business Names | BREATH OF LIFE FITNESS, LLC | 1569 Ne 2nd Street, Bend, OR 97701 |
| Oregon Corporations, Companies and Business Names | BREATH OF LIFE FOUNDATION | 31050 Malcolm St, Hermiston, OR 97838 |
| Indiana Business Entities | BREATH OF LIFE HAITI | Po Box 1792, Warsaw, IN 46580 |
| Indiana Business Entities | BREATH OF LIFE HAITI INC | 748 N Lake St, #4, Warsaw, IN 46580 |
| Street Address |
4944 DIANA CT |
| City | SPARKS |
| State | NV |
| Zip Code | 89436-8634 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013517283 | Daptem | Respite Care | 6646 Marbree Dr, Sparks, NV 89436-9404 | 2020-10-27 |
| 1598313090 | Neighbor Network of Northern Nevada | Respite Care | 999 Pyramid Way, Sparks, NV 89431-4471 | 2019-08-28 |
| 1952867582 | Call To Compassion | Respite Care | 5868 Ingleston Dr, Sparks, NV 89436-5017 | 2019-02-19 |
| 1710499652 | Rick Harness | Respite Care | 1575 E Lincoln Way, Sparks, NV 89434-8989 | 2017-11-01 |
| 1720525199 | Esmeralda Arias | Respite Care | 525 E Greenbrae Dr, Sparks, NV 89431-3373 | 2017-01-24 |
| 1396281044 | Josephine Aguilar | Respite Care | 12260 Ocean View Dr, Sparks, NV 89441-5577 | 2017-01-18 |
| 1235687849 | Cindy Johnson | Respite Care | 2392 William Morby Dr, Sparks, NV 89434-2545 | 2016-09-13 |
| 1376992511 | Darian, Inc. | Respite Care | 7502 Desert Plains Dr, Sparks, NV 89436-8706 | 2016-06-08 |
| 1699137588 | Williams A Enoh | Respite Care | 430 Veronica Ct, Sparks, NV 89436-7910 | 2016-03-22 |
| 1477914299 | Ami Health Care Srvs, LLC | Respite Care | 2069 S Mackenzie Cir, Sparks, NV 89431-7579 | 2016-03-08 |
| Find all providers in SPARKS | ||||
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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.