KAREN DIANE ECCLES (NPI# 1508046699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508046699 |
Entity Type | Individual |
Full Name | KAREN DIANE ECCLES |
Practice Address |
18252 Oakbrook Ln Reno NV 89508-4020 |
Practice Telephone | 7756242882 |
Practice Fax Number | 7756242882 |
Mailing Telephone | 7756242882 |
Mailing Fax Number | 7756242882 |
Enumeration Date | 2007-11-06 |
Last Update Date | 2007-11-06 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | GF-467290 | NV | Residential Treatment Facilities |
N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GF-467290 | NV | Residential Treatment Facilities |
N | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | GF-467290 | NV | Residential Treatment Facilities |
N | 323P00000X | Psychiatric Residential Treatment Facility | GF-467290 | NV | Residential Treatment Facilities |
N | 324500000X | Substance Abuse Rehabilitation Facility | GF-467290 | NV | Residential Treatment Facilities |
N | 385H00000X | Respite Care | GF-467290 | NV | Respite Care Facility |
Street Address |
18252 OAKBROOK LN |
City | RENO |
State | NV |
Zip Code | 89508-4020 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376065292 | Kari S Murphy | Technician | 18550 Northridge Ave, Reno, NV 89508 | 2017-07-12 |
1477914331 | Diana J Klymman | Respite Care | 3825 Macaw Ln, Reno, NV 89508 | 2016-03-18 |
1841565231 | Phyllis Amanda Rak | Rehabilitation Practitioner | 18236 Silverleaf Ct, Reno, NV 89508 | 2012-03-19 |
1427282615 | Alicia Rochelle Tau | Specialist | 18271 Dustin Ct, Reno, NV 89508-2527 | 2009-05-04 |
1710111919 | Calvin Wayne Criddle Jr. | Specialist | 18271 Dustin Ct, Reno, NV 89508-2527 | 2009-05-04 |
1083144190 | Alisa Lynne Hossay | Community Health Worker | 18312 Dustin Ct, Reno, NV 89508-2529 | 2017-06-13 |
1629373543 | Jc Family Services | Community/Behavioral Health | 18190 Baby Bear Ct, Reno, NV 89508-5816 | 2011-01-24 |
1609158237 | Michelle Roza | Behavioral Analyst | 18190 Baby Bear Ct, Reno, NV 89508-5816 | 2011-09-09 |
1144502774 | Neamoubi Mickle | Behavioral Analyst | 18190 Baby Bear Ct, Reno, NV 89508-5816 | 2011-09-09 |
1073806063 | Anna Winbush | Rehabilitation Practitioner | 17680 Cee Jay Ct, Reno, NV 89508-6036 | 2011-05-24 |
Find all providers in zip 89508 |
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 |
---|---|---|---|---|
1588286330 | Unity Mental Health Services | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St Ste 112a, Reno, NV 89502-2273 | 2020-05-15 |
1003370032 | Dehaven Behavioral Health LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Mill St Ste 218, Reno, NV 89502-2217 | 2019-01-23 |
1952870297 | Inspiring Minds Mental Health LLC | Community Based Residential Treatment Facility, Mental Illness | 548 Vassar St # 2, Reno, NV 89502-3073 | 2018-11-15 |
1184105637 | Crc Ed Treatment LLC | Community Based Residential Treatment Facility, Mental Illness | 10350 Dryden Dr, Reno, NV 89511-9588 | 2018-08-23 |
1780177287 | Vision of Hope Providers LLC | Community Based Residential Treatment Facility, Mental Illness | 710 Broadway Blvd, Reno, NV 89502-3004 | 2018-06-08 |
1740796887 | Chosen Providers | Community Based Residential Treatment Facility, Mental Illness | 1701 Wedekind Rd, Reno, NV 89512-2665 | 2017-12-27 |
1487169579 | Debbies House LLC | Community Based Residential Treatment Facility, Mental Illness | 16 Smithridge Park, Reno, NV 89502-5709 | 2017-12-11 |
1326586215 | Ambiance Provider Home Services | Community Based Residential Treatment Facility, Mental Illness | 4050 Gardella Ave, Apt 522, Reno, NV 89512-1028 | 2017-02-10 |
1669914578 | Golden Standard Behavioral Health | Community Based Residential Treatment Facility, Mental Illness | 1001 Harvard Way Apt 114, Reno, NV 89502-2001 | 2016-11-08 |
1215315601 | Jaylaray Caregiving Place | Community Based Residential Treatment Facility, Mental Illness | 331 Andrew Cahill Ln, Reno, NV 89503-1024 | 2015-05-18 |
Find all providers in RENO |
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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.