NPIMap

Organization Active NPI

Sierra Serenity Providers, LLC.

  • Respite Care
  • Sparks, NV
National Provider Identifier
1114563608
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SIERRA SERENITY PROVIDERS, LLC.
Practice address
515 E Gault Way
Sparks, NV 89431-2482
Phone
(775) 432-1035
Fax
(775) 384-6685
NPI assigned
Nov 20, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Authorized official

Name
Erica Christine YoungNPI 1558668459
Title
Administrator
Phone
(775) 432-1035

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

515 E Gault Way
Sparks, NV 89431-2482

Mailing address

515 E Gault Way
Sparks, NV 89431-2482
Phone (775) 432-1035

National Provider Directory

National Provider Directory
Tax ID family
Sierra Serenity Providers LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574294400000",
    "number": "1114563608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E GAULT WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312482",
            "telephone_number": "775-432-1035",
            "fax_number": "775-384-6685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E GAULT WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894312482",
            "telephone_number": "775-432-1035",
            "fax_number": "775-384-6685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA SERENITY PROVIDERS, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-20",
        "last_updated": "2019-11-21",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "ERICA",
        "authorized_official_middle_name": "CHRISTINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-432-1035"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2019; 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.