STATE OF NEVADA


Address: 2655 Enterprise Dr, Reno, NV 89512
Phone: 7756881600

STATE OF NEVADA (NPI# 1316574064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316574064
Entity Type Organization
Organization Name STATE OF NEVADA
Practice Address 2655 Enterprise Dr
Reno
NV 89512
Practice Telephone 7756881600
Enumeration Date 2020-03-24
Last Update Date 2020-03-24
Authorized Official Name DR. KAREN TORRY E GREENE (CLINICAL PROGRAM MANAGER II)
Authorized Official Telephone 7756881649
Authorized Official Credential DBH, LCSW
Is Organization Subpart Y
Parent Organization Name STATE OF NEVADA

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 323P00000X Psychiatric Residential Treatment Facility Residential Treatment Facilities

Other Provider/Organization Names

Other Name Type Code
PRTF Enterprise Other Name - Individual/Organization

Other Provider IDs and Locations

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
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
1710069646 State of Nevada Clinic/Center 100 Depot #5, Caliente, NV 89008-0000 2006-10-19

Other Data Sources

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

Office Location

Street Address 2655 ENTERPRISE DR
City RENO
State NV
Zip Code 89512

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
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
1235263864 Occupational Health Centers of The Southwest, P.a. Clinic/Center 1530 E. 6th St., Reno, NV 89512 2007-03-15
Find all providers in zip 89512

Taxonomy Information

Taxonomy Code 323P00000X
Grouping Residential Treatment Facilities
Classification Psychiatric Residential Treatment Facility

Taxonomy Definition

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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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
1194921262 State of Nevada Psychiatric Residential Treatment Facility 2655 Enterprise Rd, Reno, NV 89512-1666 2007-06-25

Providers in the same taxonomy and state

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
Find all providers with the same taxonomy

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City RENO
Zip Code 89512

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Dataset Information

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.

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