STATE OF NEVADA (NPI# 1083612741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083612741 |
| Entity Type | Organization |
| Organization Name | STATE OF NEVADA |
| Practice Address |
100 Veterans Memorial Drive Boulder City NV 89005 |
| Practice Telephone | 7023326713 |
| Practice Fax Number | 7023326762 |
| Mailing Telephone | 7023326713 |
| Mailing Fax Number | 7023326762 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2013-08-01 |
| Authorized Official Name | MR. FRANK S BELLINGER (ADMINISTRATOR) |
| Authorized Official Telephone | 7023326713 |
| Is Organization Subpart | Y |
| Parent Organization Name | NEVADA STATE VETERANS HOME |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 313M00000X | Nursing Facility/Intermediate Care Facility | 2984 SNF-6 | NV | Nursing & Custodial Care Facilities |
| N | 311500000X | Alzheimer Center (Dementia Center) | 2984 SNF-6 | NV | Nursing & Custodial Care Facilities |
| Y | 314000000X | Skilled Nursing Facility | 2984 SNF-6 | NV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 1902320 | 05 |
| 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 |
100 VETERANS MEMORIAL DRIVE |
| City | BOULDER CITY |
| State | NV |
| Zip Code | 89005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336763119 | Hitesh R Amin | Pharmacist | Sav-on Pharmacy, 1008 Nevada Way, Boulder City, NV 89005 | 2020-06-08 |
| 1871013086 | Wesley King | Rehabilitation Practitioner | 200 Wilson Circle, Boulder, NV 89005 | 2017-06-20 |
| 1568998714 | Bailey Godfrey | Registered Nurse | 1401 Pueblo Drive, Boulder City, NV 89005 | 2017-05-10 |
| 1972970127 | Elizabeth Anne Jones | Counselor | 202 Rainier Court, Boulder City, NV 89005 | 2015-08-24 |
| 1871913855 | Joy Reynolds | Rehabilitation Practitioner | 100 St. Jude's Street, Boulder City, NV 89005 | 2014-04-17 |
| 1710222815 | Laura Lynn Rivera | Counselor | 200 Wilson Cir, Boulder City, NV 89005 | 2012-11-30 |
| 1467723528 | Sandra Lee Miller | Community Health Worker | 659 Ave. H, Boulder City, NV 89005 | 2012-01-21 |
| 1689959272 | Eliscia Wight | Pharmacist | 101 E. Lake Mead Pkwy, Henderson, NV 89005 | 2011-10-15 |
| 1285876706 | National Park Service | Ambulance | 601 Nevada Hwy, Boulder City, NV 89005 | 2009-03-30 |
| 1861614679 | Rickey L. Smith | Pharmacist | 1008 Nevada Highway, Boulder City, NV 89005 | 2007-05-02 |
| Find all providers in zip 89005 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851488043 | Thi of Nevada II At Boulder City, LLC | Skilled Nursing Facility | 601 Adams Blvd, Boulder City, NV 89005-2219 | 2006-10-07 |
| 1205141033 | Pinnacle Health Facilities Xxxi L P | Skilled Nursing Facility | 601 Adams Blvd, Boulder City, NV 89005-2219 | 2010-08-17 |
| 1669673778 | Thi of Nevada II At Boulder City, LLC | Skilled Nursing Facility | 601 Adams Blvd, Boulder City, NV 89005-2219 | 2007-05-29 |
| 1831234558 | Boulder City Hospital Inc | Skilled Nursing Facility | 901 Adams Boulevard, Boulder City, NV 89005-2213 | 2007-02-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093331746 | Villas of Las Vegas LLC | Skilled Nursing Facility | 9230 Corbett St # 102, Las Vegas, NV 89149-2337 | 2020-06-18 |
| 1245867159 | Starfruit Holdings, LLC | Skilled Nursing Facility | 4375 S Eastern Ave, Paradise, NV 89119 | 2020-03-23 |
| 1932664158 | Lychee Holdings, LLC | Skilled Nursing Facility | 8565 W Rome Blvd, Las Vegas, NV 89149 | 2019-02-01 |
| 1245704626 | Villas of Las Vegas LLC | Skilled Nursing Facility | 9230 Corbett St # 101, Las Vegas, NV 89149-2337 | 2019-01-18 |
| 1902376494 | Avalon Care Center-va Reno, LLC | Skilled Nursing Facility | 36 Battle Born Way, Sparks, NV 89431 | 2018-11-28 |
| 1811421712 | Henderson Long Term Care LLC | Skilled Nursing Facility | 2965 Wigwam Parkway, Henderson, NV 89074 | 2017-04-18 |
| 1770024309 | Grape Holdings, LLC | Skilled Nursing Facility | 2350 Ione Road, Las Vegas, NV 89124 | 2017-03-15 |
| 1881133767 | Mmmt Corporation | Skilled Nursing Facility | 8225 W Robindale Rd, Las Vegas, NV 89113 | 2017-02-13 |
| 1437697430 | Ahc of Henderson LLC | Skilled Nursing Facility | 1285 East Cactus Avenue, Henderson, NV 89183-7714 | 2017-02-09 |
| 1508303090 | Ghc of Henderson LLC | Skilled Nursing Facility | 2855 W Horizon Ridge Pkwy, Henderson, NV 89052 | 2017-01-23 |
| Find all providers with the same taxonomy | ||||
| City | BOULDER CITY |
| Zip Code | 89005 |
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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.