NPIMap

Organization Active NPI

Bristlecone Family Resources

Doing business as Bristlecone Recovery Center

  • Substance Abuse Rehabilitation Facility
  • Reno, NV
National Provider Identifier
1013354604
Registry record updated Sep 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
BRISTLECONE FAMILY RESOURCES
Doing business as
Bristlecone Recovery Center
Practice address
704 Mill St
Reno, NV 89502-1321
Phone
(775) 954-1400
NPI assigned
May 23, 2013
Last updated
Sep 26, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Peter OttNPI 1508356429
Title
Executive Director
Phone
(775) 954-1400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

704 Mill St
Reno, NV 89502-1321

Mailing address

704 Mill St
Reno, NV 89502-1321

Other names 1

  • Bristlecone Recovery Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bristlecone Family Resources3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

704 Mill St
Reno, NV 89502
Phone (775) 954-1400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1013354604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021321",
            "telephone_number": "775-954-1400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTLECONE FAMILY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-23",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-954-1400"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristlecone Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.