MR. MARCUS C MAYHALL (NPI# 1467692954) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467692954 |
| Entity Type | Individual |
| Full Name | MR. MARCUS C MAYHALL |
| Other Name | MR. MARCUS C MAYHALL |
| Credential | BS |
| Practice Address |
741 Rancho Via Dr Sparks NV 89434-4051 |
| Mailing Address |
6283 Chesterfield Ln Reno NV 89523-1726 |
| Practice Telephone | 7752473994 |
| Mailing Telephone | 7752473994 |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2009-02-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Street Address |
741 RANCHO VIA DR |
| City | SPARKS |
| State | NV |
| Zip Code | 89434-4051 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003055799 | Nick B Stevens | Community Based Residential Treatment Facility, Mental Illness | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2009-02-19 |
| 1144518267 | Paul Ithurralde | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-11 |
| 1205124229 | Matthew Schupner | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-11 |
| 1689961708 | Trellissa Mckay | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1316234438 | Lorrie V Scow | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1942597067 | Richard Price | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1861789984 | Ray K Scow | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2011-07-10 |
| 1609184696 | Lacie Hawkins | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| 1245548239 | Shane Wilson | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| 1326356312 | Mark Johnson | Rehabilitation Practitioner | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2010-09-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750992210 | Erin Heffelfinger | Rehabilitation Practitioner | 550 Marina Gateway Dr, Apt 1432, Sparks, NV 89434 | 2020-08-10 |
| 1568009892 | Daniel Wesley Jacobson | Home Health Aide | 800 Nichols Bldv #222, Sparks, NV 89434 | 2019-12-05 |
| 1437649688 | Barbara M Robinson | Home Health Aide | 1963 E. Prayer Way, Sparks, NV 89434 | 2018-05-14 |
| 1851788277 | P6 Family Services LLC | Case Management | 2200 North D'andrea Pkwy #2411, Sparks, NV 89434 | 2015-04-23 |
| 1700188430 | Etxea Services | Community/Behavioral Health | 741 Rancho Villa Drive, Sparks, NV 89434 | 2010-12-01 |
| 1194970640 | Steven Joel Madison | Registered Nurse | 1999 Mania Court, Sparks, NV 89434 | 2008-11-25 |
| 1730342155 | Raymond Miranda Duro | Pharmacist | 2375 East Prater Way Sparks, Sparks, NV 89434 | 2008-07-07 |
| 1124293436 | Steve D Smith | Hearing Instrument Specialist | 1450 E Prater Way Ste 111, Sparks, NV 89434 | 2008-04-28 |
| 1437355799 | Kristin Leigh Koetje | Social Worker | 310 Rue De La Lavanda, Sparks, NV 89434 | 2007-06-25 |
| 1063549582 | Urology Institute | Urology | 2385 E Prater Way Suite 112, Sparks, NV 89434 | 2007-02-28 |
| Find all providers in zip 89434 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063928810 | Bella Cares Provider Services LLC | Community Based Residential Treatment Facility, Mental Illness | 414 Field St, Sparks, NV 89431-4148 | 2017-12-15 |
| 1851825897 | Ambiance Providers Home Services | Community Based Residential Treatment Facility, Mental Illness | 1298 Highgate Ct, Sparks, NV 89434-0762 | 2017-04-17 |
| 1669910394 | Sage Brush Behaviroal Health LLC | Community Based Residential Treatment Facility, Mental Illness | 2780 Sunny Slope Dr, Sparks, NV 89434-2679 | 2017-02-01 |
| 1548719255 | Adolescent Treatment Center | Community Based Residential Treatment Facility, Mental Illness | 480 Galetti Way, Sparks, NV 89431 | 2016-09-23 |
| 1366812729 | Lifetime Assistance | Community Based Residential Treatment Facility, Mental Illness | 1877 El Rancho Dr Apt 22, Sparks, NV 89431-1080 | 2015-09-29 |
| 1780052365 | Rising Star | Community Based Residential Treatment Facility, Mental Illness | 975 Locomotive Way, Sparks, NV 89434-5806 | 2015-09-12 |
| 1538548516 | Akel Ahmad | Community Based Residential Treatment Facility, Mental Illness | 3445 Dawn Cir, Sparks, NV 89431-1254 | 2015-05-24 |
| 1558668459 | Erica Christine Young | Community Based Residential Treatment Facility, Mental Illness | 515 E Gault Way, Sparks, NV 89431-2482 | 2011-02-12 |
| 1003055799 | Nick B Stevens | Community Based Residential Treatment Facility, Mental Illness | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2009-02-19 |
| 1700319993 | Healing Hands Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 3258 Bunker Hill Ln, Sparks, NV 89431-1150 | 2017-04-05 |
| 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.