ETXEA SERVICES (NPI# 1700188430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700188430 |
| Entity Type | Organization |
| Organization Name | ETXEA SERVICES |
| Other Organization Name | ETXEA COMMUNITY SERVICES |
| Practice Address |
741 Rancho Villa Drive Sparks NV 89434 |
| Practice Telephone | 7754531502 |
| Practice Fax Number | 7754531502 |
| Mailing Telephone | 7754531502 |
| Mailing Fax Number | 7754531502 |
| Enumeration Date | 2010-12-01 |
| Last Update Date | 2010-12-01 |
| Authorized Official Name | MR. BERTRAND ITTHURALDE (EXECUTIVE DIRECTOR, FOUNDER) |
| Authorized Official Telephone | 7752473994 |
| Authorized Official Credential | MSW, LSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1007730358-001 | 05 |
| Other Name | Type Code |
|---|---|
| Etxea Community Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316235039 | Etxea Services | Community/Behavioral Health | 435 E 6th St, Reno, NV 89512-3324 | 2011-07-14 |
| 1023244688 | Etxea Services | Community Based Residential Treatment Facility, Mental Illness | 741 Rancho Via Dr, Sparks, NV 89434-4051 | 2009-06-09 |
| Street Address |
741 RANCHO VILLA DRIVE |
| City | SPARKS |
| State | NV |
| Zip Code | 89434 |
| 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 |
| 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 |
| 1558440016 | James Andrew Craner | Internal Medicine | 1441 Pullman Drive, Sparks, NV 89434 | 2006-11-03 |
| Find all providers in zip 89434 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294932 | Jahir Treyvont Anderson | Community/Behavioral Health | 2163 Denevi Dr, Sparks, NV 89434-3457 | 2020-10-28 |
| 1649740754 | Reaching for Independence, LLC | Community/Behavioral Health | 1758 Donegan St, Sparks, NV 89434-8851 | 2018-12-01 |
| 1346717725 | Tomorrow Is Another Day | Community/Behavioral Health | 429 15th St, Sparks, NV 89431-0847 | 2018-10-24 |
| 1306326772 | Mountain Blue Bird Behavioral Health LLC | Community/Behavioral Health | 2640 Anqua Ct, Sparks, NV 89434-2125 | 2018-08-15 |
| 1225409881 | Sierra Counseling Center | Community/Behavioral Health | 1855 Sullivan Ln, Suite 145, Sparks, NV 89431-2825 | 2015-10-08 |
| 1538541537 | Great Basin Therapeutic Services Ltd. | Community/Behavioral Health | 50 Freeport Blvd, Suite 10, Sparks, NV 89431-6274 | 2015-06-25 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1588072235 | Sierra Counseling Center | Community/Behavioral Health | 1855 Sullivan Ln Ste 145, Sparks, NV 89431-2828 | 2014-07-25 |
| 1356686810 | Wiley Care Homes, LLC | Community/Behavioral Health | 6679 N Latour, Sparks, NV 89436-9197 | 2012-12-10 |
| 1871021188 | Sierra Serenity Providers, LLC. | Community/Behavioral Health | 515 E Gault Way, Sparks, NV 89431-2482 | 2017-05-31 |
| 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.