GOLLA HOME (NPI# 1992875157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992875157 |
| Entity Type | Organization |
| Organization Name | GOLLA HOME |
| Practice Address |
670 Washoe Dr Carson City NV 89704-9528 |
| Practice Telephone | 7758493165 |
| Practice Fax Number | 7758499425 |
| Mailing Telephone | 7758493165 |
| Mailing Fax Number | 7758499425 |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2008-06-23 |
| Authorized Official Name | MRS. JEAN GOLLA (MH TREATMENT HOME PROVIDER) |
| Authorized Official Telephone | 7758493165 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 100508066 | 05 | |
| NV | 006116513 | 05 | |
| NV | 100508067 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932357852 | Golla Home | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2008-09-04 |
| Street Address |
670 WASHOE DR |
| City | CARSON CITY |
| State | NV |
| Zip Code | 89704-9528 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780985721 | Jack Gary Golla | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2010-11-08 |
| 1730489998 | Jean Caroline Golla | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2010-10-21 |
| 1932357852 | Golla Home | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2008-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285197384 | Stepanida Freeman Md PC | Obstetrics & Gynecology | 1701 N Greenway Pkwy, Ste 3b, Henderson, NV 89704 | 2019-04-08 |
| 1881996890 | Laurie Lee Roberts | Rehabilitation Practitioner | 809 Washoe Dr., Reno, NV 89704 | 2010-11-23 |
| 1255491064 | Alexis Henderson | Counselor | 3275 Lakeshore Dr, Washoe Valley, NV 89704 | 2006-12-11 |
| 1750453031 | Shirley A Webster | Counselor | 3275 Lakeshore Drive, Htn, Washoe Valley, NV 89704 | 2006-11-14 |
| 1417042128 | Jill Ann Dickinson | Physical Therapist | 7451 Granite Ridge Ct, Washoe Valley, NV 89704-8576 | 2006-10-04 |
| 1376836064 | Cindy Ann Rodman | Rehabilitation Practitioner | 240 Monarch Dr, Washoe Valley, NV 89704-9033 | 2011-05-27 |
| 1629361324 | Steven A Pecota | Rehabilitation Practitioner | 240 Monarch Dr, Washoe Valley, NV 89704-9033 | 2011-05-27 |
| 1871867739 | Shana Stirton | Rehabilitation Practitioner | 4090 Eastlake Blvd, Washoe Valley, NV 89704-9103 | 2012-02-23 |
| 1104152008 | James Robert Whitmer Md PC | Internal Medicine | 3800 Lake Shore Dr, Washoe Valley, NV 89704-9151 | 2009-10-27 |
| 1689117806 | Jennifer Lynn Obryan-taft | Counselor | 3455 Vegas Way, Washoe Valley, NV 89704-9246 | 2016-11-19 |
| Find all providers in zip 89704 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629540380 | Vitality Integrated Programs - Ccbhc - Carson City | Community/Behavioral Health | 680 W Nye Ln Ste And202, Carson City, NV 89703-1575 | 2018-12-19 |
| 1477932440 | Heather Liane Flowers | Community/Behavioral Health | 755 N. Roop Street, Suite 106, Carson City, NV 89701-3107 | 2015-05-24 |
| 1295139822 | Effective Life Changing Counseling | Community/Behavioral Health | 711 S Carson St Ste 4, Fpo, Carson City, NV 89701-5292 | 2014-10-10 |
| 1003233545 | Family Wellness Center | Community/Behavioral Health | 751 Basque Way, Suite D, Carson City, NV 89706-7934 | 2014-03-22 |
| 1659703916 | Compass Behavior Health | Community/Behavioral Health | 1609 Marian Ave, Carson City, NV 89706-2631 | 2013-08-08 |
| 1134499015 | Theresa Simmons | Community/Behavioral Health | 11 Castle Way, Carson City, NV 89706-1932 | 2012-01-09 |
| 1790020550 | Theresa L Simmons | Community/Behavioral Health | 11 Castle Way, Carson City, NV 89706-1932 | 2012-12-05 |
| 1386948727 | Carson Tahoe Behavioral Health Services | Community/Behavioral Health | 1001 Mountain St, Ross Bldg. Ste. 3-h, Carson City, NV 89703-3848 | 2010-12-28 |
| 1780985721 | Jack Gary Golla | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2010-11-08 |
| 1730489998 | Jean Caroline Golla | Community/Behavioral Health | 670 Washoe Dr, Carson City, NV 89704-9528 | 2010-10-21 |
| Find all providers in CARSON CITY | ||||
| City | CARSON CITY |
| Zip Code | 89704 |
Please comment or provide details below to improve the information on GOLLA HOME.
| 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.