NPIMap

Organization Active NPI

Tahoe Youth and Family Services

  • Voluntary or Charitable Agency
  • Incline Village, NV
National Provider Identifier
1063859072
Registry record updated Apr 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Voluntary or Charitable AgencyTaxonomy code 251V00000X
License
C29935-2002 Issued in NV
Legal business name
TAHOE YOUTH AND FAMILY SERVICES
Practice address
948 Incline Way
Incline Village, NV 89451-9527
Phone
(775) 298-0275
Fax
(775) 782-5055
NPI assigned
May 30, 2013
Last updated
Apr 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
TAHOE YOUTH & FAMILY SERVICESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 23, 2015

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

Authorized official

Name
Mr. Christopher Croft
Title
Executive Director
Phone
(775) 782-4202

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Voluntary or Charitable Agency 251V00000X C29935-2002 NV Primary

Addresses

Primary practice location

948 Incline Way
Incline Village, NV 89451-9527

Mailing address

1512 Hwy 395 N
Suite 3
Gardnerville, NV 89410-5239
Phone (775) 782-4202

National Provider Directory

National Provider Directory
Tax ID family
Tahoe Youth Family Services5 organizations share this tax ID, including this one
Part of
Tahoe Youth Family Services

Other organizations with this tax ID 4

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

Locations

948 Incline Way
Incline Village, NV 89451
Phone (775) 289-0254

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1429747200000",
    "number": "1063859072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HWY 395 N",
            "address_2": "SUITE 3",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105239",
            "telephone_number": "775-782-4202",
            "fax_number": "775-782-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 INCLINE WAY",
            "city": "INCLINE VILLAGE",
            "state": "NV",
            "postal_code": "894519527",
            "telephone_number": "775-298-0275",
            "fax_number": "775-782-5055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TAHOE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TAHOE YOUTH & FAMILY SERVICES",
        "enumeration_date": "2013-05-30",
        "last_updated": "2015-04-23",
        "status": "A",
        "authorized_official_last_name": "CROFT",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-782-4202",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": "NV",
            "license": "C29935-2002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Incline Village, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2015; 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.