STATE OF NEVADA (NPI# 1194921262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194921262 |
| 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 | 2007-06-25 |
| 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 | 323P00000X | Psychiatric Residential Treatment Facility | 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 |
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| Taxonomy Code | 323P00000X |
| Grouping | Residential Treatment Facilities |
| Classification | Psychiatric Residential Treatment Facility |
| A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient’s surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary |
| Notes: Source: Champus Policy manual, Volume II, p. 6010.47M dated 9/12/94. Revision: Definition title revised 7/1/03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316574064 | State of Nevada | Psychiatric Residential Treatment Facility | 2655 Enterprise Dr, Reno, NV 89512 | 2020-03-24 |
| 1164903613 | Crc Ed Treatment LLC | Psychiatric Residential Treatment Facility | 2501 Holcomb Ranch Ln, Reno, NV 89511-9558 | 2018-08-23 |
| 1962557975 | Crc Ed Treatment, Inc | Psychiatric Residential Treatment Facility | 1500 Pass Dr, Reno, NV 89509 | 2007-01-23 |
| 1275154833 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Residential Treatment Facility | 6940 Sierra Center Pkwy, Reno, NV 89511-2209 | 2020-05-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104424829 | Eden Treatment, LLC | Psychiatric Residential Treatment Facility | 7390 Edna Ave, Las Vegas, NV 89117-2902 | 2020-10-14 |
| 1043879083 | Eden Treatment, LLC | Psychiatric Residential Treatment Facility | 3636 Dutch Valley Dr, Las Vegas, NV 89147-6806 | 2019-06-12 |
| 1306338215 | Douglas Co and Unincorporated Towns | Psychiatric Residential Treatment Facility | 225 China Spring Rd, Gardnerville, NV 89410 | 2018-06-06 |
| 1871029082 | New Benchmark | Psychiatric Residential Treatment Facility | 1472 W Hwy 373, Amargosa Valley, NV 89020 | 2017-05-08 |
| 1174989578 | Aisha Marpa Santos | Psychiatric Residential Treatment Facility | 1219 Starstone Ct, Henderson, NV 89014-7899 | 2016-01-14 |
| 1063827749 | Kw Legacy Ranch, LLC | Psychiatric Residential Treatment Facility | 1760 Sr 318, Hiko, NV 89017-2215 | 2014-06-21 |
| 1811953003 | State of Nevada | Psychiatric Residential Treatment Facility | 6171 W Charleston Blvd, Bldg. #17, Las Vegas, NV 89146-1126 | 2006-04-25 |
| 1255306270 | Uhs of Spring Mountain Inc | Psychiatric Residential Treatment Facility | 7000 Spring Mountain Rd, Las Vegas, NV 89117 | 2006-02-22 |
| 1538773858 | Seven Hills Hospital, LLC | Psychiatric Residential Treatment Facility | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2020-09-03 |
| 1316555691 | Seven Hills Hospital LLC | Psychiatric Residential Treatment Facility | 3021 W Horizon Ridge Pkwy, Henderson, NV 89052-3990 | 2020-07-22 |
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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.