NPIMap

Organization Active NPI

State of Nevada

Doing business as Aging and Disability Services Division

  • Case Management Agency
  • Carson City, NV
National Provider Identifier
1114309432
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
STATE OF NEVADA
Doing business as
Aging and Disability Services Division
Practice address
3416 Goni Rd BLDG D
132
Carson City, NV 89706-8008
Phone
(775) 687-4210
Fax
(775) 687-0574
NPI assigned
Jun 23, 2015
Last updated
Jun 23, 2015By the provider in NPPES
Organization subpart
Yes
Parent organization
STATE OF NEVADAAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Authorized official

Name
Mrs. Jill Berntson
Title
Deputy Administrator
Phone
(775) 687-0534

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X NV Primary

Addresses

Primary practice location

3416 Goni Rd BLDG D
132
Carson City, NV 89706-8008

Mailing address

3416 Goni Rd BLDG D
132
Carson City, NV 89706-8008
Phone (775) 687-4210

Other names 1

  • Aging and Disability Services Division Doing business as

National Provider Directory

National Provider Directory
Tax ID family
State of Nevada Bureau125 organizations share this tax ID, including this one
Part of
State of Nevada Bureau

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

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": "1435017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435017600000",
    "number": "1114309432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3416 GONI RD BLDG D",
            "address_2": "132",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897068008",
            "telephone_number": "775-687-4210",
            "fax_number": "775-687-0574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3416 GONI RD BLDG D",
            "address_2": "132",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897068008",
            "telephone_number": "775-687-4210",
            "fax_number": "775-687-0574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "STATE OF NEVADA",
        "enumeration_date": "2015-06-23",
        "last_updated": "2015-06-23",
        "status": "A",
        "authorized_official_last_name": "BERNTSON",
        "authorized_official_first_name": "JILL",
        "authorized_official_title_or_position": "DEPUTY ADMINISTRATOR",
        "authorized_official_telephone_number": "775-687-0534",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Aging and Disability Services Division",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

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