Active NPI
My Home Ice
- Mental Illness Community Based Residential Treatment Facility
- Reno, NV
National Provider Identifier
1154614105
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- Legal business name
- MY HOME ICE
- Practice address
- 10880 Deodar Way
Reno, NV 89506-9064 - Phone
- (775) 786-4168
- Fax
- (775) 786-5622
- NPI assigned
- May 24, 2011
- Last updated
- May 24, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Miss Elizabeth Robin Webb
- Title
- Program Director
- Phone
- (702) 595-2868
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NV | Primary |
Addresses
Primary practice location
10880 Deodar Way
Reno, NV 89506-9064
Mailing address
10880 Deodar Way
Reno, NV 89506-9064
Phone (775) 786-4168
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005042666 | Medicaid | NV |
National Provider Directory
National Provider Directory- Tax ID family
- My Home Ice
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Reno, NV
- NPI 1881804870
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Behavior Analyst
- Reno, NV
- NPI 1043594500
-
- Behavior Analyst
- Reno, NV
- NPI 1972881142
-
- Behavior Analyst
- Reno, NV
- NPI 1629352190
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1306195200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1306195200000",
"number": "1154614105",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10880 DEODAR WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895069064",
"telephone_number": "775-786-4168",
"fax_number": "775-786-5622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10880 DEODAR WAY",
"city": "RENO",
"state": "NV",
"postal_code": "895069064",
"telephone_number": "775-786-4168",
"fax_number": "775-786-5622"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY HOME ICE",
"organizational_subpart": "NO",
"enumeration_date": "2011-05-24",
"last_updated": "2011-05-24",
"status": "A",
"authorized_official_last_name": "WEBB",
"authorized_official_first_name": "ELIZABETH",
"authorized_official_middle_name": "ROBIN",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "702-595-2868",
"authorized_official_name_prefix": "Miss"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9005042666",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}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 May 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.