STATE OF NEVADA (NPI# 1740357102) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740357102 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Other Organization Name | STATE OF NEVADA, DHHS, DIVISION OF CHILD AND FAMILY SERVICES |
| Practice Address |
2655 Enterprise Rd Reno NV 89512-1666 |
| Practice Telephone | 7756881600 |
| Practice Fax Number | 7756881616 |
| Mailing Telephone | 7756881600 |
| Mailing Fax Number | 7756881616 |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. MARTY CARRAHER (ADMINISTRATIVE SERVICES OFFICER) |
| Authorized Official Telephone | 7756881658 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| Other Name | Type Code |
|---|---|
| State of Nevada, DHHS, Division of Child and Family Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1821607193 | State of Nevada | Community/Behavioral Health | 6171 W Charleston Blvd Bldg 15, Las Vegas, NV 89146 | 2020-07-23 |
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1114309432 | State of Nevada | Case Management | 3416 Goni Rd Bldg D, 132, Carson City, NV 89706-8008 | 2015-06-23 |
| 1699914887 | State of Nevada | Case Management | 775 Cornell Avenue, Suite A-1, Lovelock, NV 89419-0000 | 2009-02-11 |
| 1386805265 | State of Nevada | Public Health or Welfare | 1000 E Williams Street, #205, Carson City, NV 80701 | 2008-06-23 |
| 1558549972 | State of Nevada | Case Management | 100 Depot, #5, Caliente, NV 89008-0000 | 2008-02-07 |
| 1578741179 | State of Nevada | Case Management | 1665 Old Hot Springs Road, Suite 150, Carson City, NV 89706-0668 | 2008-02-06 |
| 1336203892 | State of Nevada | Public Health or Welfare | 1665 Old Hot Springs Rd Ste 157, Carson City, NV 89706-0663 | 2006-12-20 |
| 1184706012 | State of Nevada | Clinic/Center | 825 S Main, Tonopah, NV 89049-0494 | 2006-10-19 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | STATE OF NEVADA RURAL CLINICS | 4126 Technology Way 2nd Fl, Carson City, NV 89706-2027 |
| Street Address |
2655 ENTERPRISE RD |
| City | RENO |
| State | NV |
| Zip Code | 89512-1666 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033289392 | William Frederick Harvey | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2006-11-08 |
| 1811598782 | Amy L Whalen | Registered Nurse | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
| 1952902926 | Emily Morgan | Case Manager/Care Coordinator | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-11-05 |
| 1104432558 | Kellee Fitzgerald | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-09-21 |
| 1255945150 | Brandon Gaeta | Rehabilitation Practitioner | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-09-08 |
| 1154934206 | Peter Thacher Arnold | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-08-28 |
| 1689200354 | Rachel Alia Bronk | Social Worker | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-03-13 |
| 1558993832 | Emmanuel Armas | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2020-02-05 |
| 1730739582 | Mary Katherine Short | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2019-09-13 |
| 1376016352 | Maria-veronica D Ong | Counselor | 2655 Enterprise Rd, Reno, NV 89512-1666 | 2019-01-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1730611690 | Ivette Velazquez | Behavior Technician | 1370 Haddock Dr., Reno, NV 89512 | 2017-03-30 |
| 1699221846 | Juan Castillo | Contractor | 2560 E 9th St, Reno, NV 89512 | 2016-08-28 |
| 1902280456 | Golden Valley Group Care II | Custodial Care Facility | 1140 Manhattan St, Reno, NV 89512 | 2015-07-15 |
| 1497180053 | Meghan Nicole Pefley | Physical Therapist | 2667 Enterprise Road, Reno, NV 89512 | 2013-09-13 |
| 1104136993 | St. Paul Homecare 1 | Assisted Living Facility | 1500 Manhattan St, Reno, NV 89512 | 2010-10-14 |
| 1184854424 | Pamela Sue Hill | Specialist | 1240 East 9th Street, West Hills Hospital, Reno, NV 89512 | 2009-07-21 |
| 1477790012 | Nevada Cvs Pharmacy, L.L.C. | Pharmacy | 2890 Northtowne Lane, Reno, NV 89512 | 2009-01-20 |
| 1235328006 | American Current Care Pa | Clinic/Center | 1530 E 6th Street, Reno, NV 89512 | 2007-10-17 |
| 1063539666 | Michael Robert Panicari | Preventive Medicine | 1530 E. 6th Street, Reno, NV 89512 | 2007-03-26 |
| Find all providers in zip 89512 | ||||
| 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.