OH PHUKET (NPI# 1699248302) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699248302 |
| Entity Type | Organization |
| Organization Name | OH PHUKET |
| Practice Address |
401 Ryland St Ste 200a Reno NV 89502-1643 |
| Mailing Address |
1406 Scott Dr National City CA 91950-1627 |
| Practice Telephone | 6198650445 |
| Mailing Telephone | 6198650445 |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |
| Authorized Official Name | MR. JUAN ANTONIO QUIROZ JR. (CEO) |
| Authorized Official Telephone | 6198650445 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 341600000X | Ambulance | Transportation Services | ||
| N | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services | ||
| N | 3416L0300X |
Ambulance Specialization: Land Transport |
Transportation Services | ||
| N | 3416S0300X |
Ambulance Specialization: Water Transport |
Transportation Services | ||
| Y | 251B00000X | Case Management | Agencies |
| Street Address |
401 RYLAND ST STE 200A |
| City | RENO |
| State | NV |
| Zip Code | 89502-1643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760950638 | A Wiser Mind Nevada LLC | Psychologist | 401 Ryland St Ste 200a, Reno, NV 89502-1643 | 2018-11-08 |
| 1669946299 | Orient LLC | Case Management | 401 Ryland St Ste 200a, Reno, NV 89502-1643 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497393391 | Jade Graver | Case Management | 4600 Kietzke Ln Bldg D, Reno, NV 89502-5033 | 2019-12-11 |
| 1073985776 | Prison Recovery Network, Inc | Case Management | 8900 Double Diamond Pkwy, Reno, NV 89521-4829 | 2015-10-21 |
| 1750620696 | Step 1, Inc. | Case Management | 1015 N Sierra St, Reno, NV 89503-3722 | 2013-02-13 |
| 1083982136 | Therapy Management Group | Case Management | 200 S Virginia 8th Floor, Reno, NV 89501 | 2011-12-05 |
| 1467681635 | Washoe County Dept of Juvenile Services | Case Management | 650 Ferrari Mcleod Blvd, Reno, NV 89512-1060 | 2009-07-09 |
| 1215081880 | Shaw Foster Homes Inc | Case Management | 2025 Sharon Way, Reno, NV 89509-3536 | 2007-01-22 |
| 1982770921 | Washoe County | Case Management | 350 S Center St, Reno, NV 89501-2111 | 2006-11-28 |
| 1952408239 | State of Nevada | Case Management | 2667 Enterprise Rd, Reno, NV 89512-1666 | 2006-09-20 |
| 1407463151 | Oracle Counseling Services, Pllc | Case Management | 5470 Kietzke Ln Ste 300, Reno, NV 89511-2099 | 2020-09-28 |
| 1376163162 | Well Care Services Reno, LLC | Case Management | 850 Mill St Ste 100, Reno, NV 89502-1463 | 2020-04-21 |
| 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.