STATE OF NEVADA (NPI# 1861631533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861631533 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Other Organization Name | FERNLEY MENTAL HEALTH |
| Practice Address |
115 E Main St Fernley NV 89408-7644 |
| Mailing Address |
4126 Technology Way Suite 102 Carson City NV 89706-2066 |
| Practice Telephone | 7755750670 |
| Practice Fax Number | 7755750672 |
| Mailing Telephone | 7756877573 |
| Mailing Fax Number | 7756877544 |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |
| Authorized Official Name | SIRI MCMILLIN (BILLING SUPERVISOR) |
| Authorized Official Telephone | 7756877573 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NV | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 005410002 | 05 |
| Other Name | Type Code |
|---|---|
| FERNLEY MENTAL HEALTH | 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 |
115 E MAIN ST |
| City | FERNLEY |
| State | NV |
| Zip Code | 89408-7644 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396359634 | Kim Patrick Baumgardner | Pharmacist | 1280 Hwy. 95a North, Fernley, NV 89408 | 2020-09-03 |
| 1891303723 | Amber Timberlake | Marriage & Family Therapist | 415 Highway 95a Suite G701, Fernley, NE 89408 | 2020-07-16 |
| 1609492958 | Ana Alicia Cervantes Tippit | Social Worker | 415 Hwy 95a South Suite D, Fernley, NV 89408 | 2020-06-23 |
| 1437797172 | Whitney Howerton | Peer Specialist | 415 Highway 95a, Suite H802, Fernley, NV 89408 | 2019-12-12 |
| 1689146813 | Golden Years Castle Property Holdings LLC | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 575 Farm District Rd, Fernley, NV 89408 | 2018-12-28 |
| 1508355405 | Raleys | Pharmacy | 1400 State Route 95a N, Fernley, NV 89408 | 2018-05-07 |
| 1528598679 | The Dentists' Office Fernley LLC | Dentist | 300 Highway 95-a South, Ste. 110, Fernley, NV 89408 | 2017-06-12 |
| 1992246474 | Brieauna Nesmith | Counselor | 415 Hwy 95 A, Suite 702 G, Fernley, NV 89408 | 2017-03-16 |
| 1760939359 | Eloisa Martinez | Counselor | 415 Hwy 95 Suite 702g, Fernley, NV 89408 | 2016-09-01 |
| 1033665377 | Lorraine Forbes | Counselor | 415 Highway 95a Building I, Fernley, NV 89408 | 2016-08-28 |
| Find all providers in zip 89408 | ||||
| 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 |
|---|---|---|---|---|
| 1912357658 | Maria Elena Rodarte | Case Management | 415 Hwy 95 Suite 3, Fernley, NV 89408 | 2016-06-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908000 | Oceans L.L.C. | Case Management | 9799 Aleutian St, Las Vegas, NV 89178-3844 | 2020-07-02 |
| 1124645999 | Community Porch Light | Case Management | 6263 W Twain Ave, Las Vegas, NV 89103-1153 | 2020-06-28 |
| 1568085140 | Nevada We Care | Case Management | 4080 E Lake Mead Blvd # B-110, Las Vegas, NV 89115-6466 | 2020-05-18 |
| 1497393391 | Jade Graver | Case Management | 4600 Kietzke Ln Bldg D, Reno, NV 89502-5033 | 2019-12-11 |
| 1508409285 | Angels Reunited | Case Management | 3838 Raymert Dr Ste 109, Las Vegas, NV 89121-3247 | 2019-10-24 |
| 1164077541 | Akeela Brown | Case Management | 420 S Jones Blvd, Las Vegas, NV 89107-2658 | 2019-08-02 |
| 1902360373 | Deanna Camille Faucett | Case Management | 6816 White Sands Ave, Las Vegas, NV 89145-5334 | 2019-01-30 |
| 1336617257 | Boomerang Behavioral Solutions LLC. | Case Management | 9436 Rolling Ridge Ln, Las Vegas, NV 89134-0149 | 2018-11-08 |
| 1487121190 | Nevada Neurofeedback and Hypnosis LLC | Case Management | 3085 S Jones Blvd Ste B, Las Vegas, NV 89146-6767 | 2018-10-31 |
| 1356816318 | Acts of Kindness Community Services, LLC | Case Management | 2008 Hamilton Ln Bldg B, Las Vegas, NV 89106-4033 | 2018-10-05 |
| Find all providers with the same taxonomy | ||||
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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.