STATE OF NEVADA (NPI# 1811064272) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1811064272 |
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 | 322D00000X | Residential Treatment Facility, Emotionally Disturbed Children | 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 |
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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 | 322D00000X |
Grouping | Residential Treatment Facilities |
Classification | Residential Treatment Facility, Emotionally Disturbed Children |
A provider facility or distinct part of the organization which renders an interdisciplinary program of mental health treatment to individuals under 21 years of age who have persistent dysfunction in major life areas. The dysfunction is of an extent and pervasiveness that requires a protected and highly structured therapeutic environment. These organizations, or distinct part of organizations, exclude those that provide acute psychiatric care, partial hospitalization, group living, therapeutic schooling, primary diagnosis substance abuse disorder treatment, or primary diagnosis mental retardation or developmental disability treatment. |
Notes: Source: U.S. Department of Defense Regulation 6010.8-R, Chapter 6. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215305818 | Levada House LLC | Residential Treatment Facility, Emotionally Disturbed Children | 3905 Clear Acre Ln Apt 27, Reno, NV 89512-1283 | 2015-09-13 |
1679639132 | Hand Up Homes for Youth | Residential Treatment Facility, Emotionally Disturbed Children | 2725 Yori Ave, Reno, NV 89502-4325 | 2006-12-29 |
1902199458 | Aaron J Holcomb | Residential Treatment Facility, Emotionally Disturbed Children | 255 W Moana Ln Ste 104, Reno, NV 89509-4942 | 2011-05-17 |
1184922916 | Impact Communtiy Service LLC | Residential Treatment Facility, Emotionally Disturbed Children | 9801 Crystalline Dr, Reno, NV 89506-7566 | 2011-03-02 |
1568783942 | Jc Family Services | Residential Treatment Facility, Emotionally Disturbed Children | 2370 Ridge Field Trl, Reno, NV 89523-6803 | 2010-06-19 |
1578739157 | Hand Up Homes for Youth Nevada | Residential Treatment Facility, Emotionally Disturbed Children | 2725 Yori Ave, Reno, NV 89502-4325 | 2008-05-05 |
1336353101 | Koinonia Foster Homes, Inc. | Residential Treatment Facility, Emotionally Disturbed Children | 1050 Bible Way, Reno, NV 89502 | 2007-05-10 |
1962548990 | Beverly J. Paschal, Ma, Mft | Residential Treatment Facility, Emotionally Disturbed Children | 3670 Grant Dr, Suite 103-a, Reno, NV 89509-5309 | 2007-01-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891282786 | Avenues 2 Success | Residential Treatment Facility, Emotionally Disturbed Children | 9520 Chanticleer Ct, Las Vegas, NV 89129-7858 | 2018-04-17 |
1639423064 | Sunny Day Home Health | Residential Treatment Facility, Emotionally Disturbed Children | 1712 Sagebrush Ranch Way, N Las Vegas, NV 89081-6718 | 2012-11-07 |
1093030017 | Unepected Changes | Residential Treatment Facility, Emotionally Disturbed Children | 428 Marion Dr, Las Vegas, NV 89110-3473 | 2010-04-01 |
1245567486 | Luvin' Kare Transitional Services | Residential Treatment Facility, Emotionally Disturbed Children | 217 Delighted Ave, North Las Vegas, NV 89031-1395 | 2009-11-09 |
1679703805 | Horizon Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | Hc 70 Box 531, Amargosa Valley, NV 89020-9600 | 2009-07-22 |
1174766612 | Carol Ellen Harrison | Residential Treatment Facility, Emotionally Disturbed Children | 1700 Buckthorn Ct, Minden, NV 89423-4127 | 2009-04-14 |
1700046372 | London Family and Children's Services Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2026 Silverton Dr, Henderson, NV 89074-1550 | 2008-06-16 |
1588821938 | Focal Point Academy | Residential Treatment Facility, Emotionally Disturbed Children | 560 W Mesquite Blvd, Mesquite, NV 89027-5137 | 2008-05-21 |
1306024773 | Father Flanagans Boys' Town | Residential Treatment Facility, Emotionally Disturbed Children | 8090 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
1215115688 | Father Flanagans Boys' Home | Residential Treatment Facility, Emotionally Disturbed Children | 8110 Flanagan Dr, Las Vegas, NV 89131-0200 | 2008-02-07 |
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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.