NPIMap

Organization Active NPI

Medical Services of Nevada

  • In Home Supportive Care Agency
  • Carson City, NV
National Provider Identifier
1194179549
Registry record updated Apr 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5921PCS-7 Issued in NV
Legal business name
MEDICAL SERVICES OF NEVADA
Practice address
343 Fairview Dr Ste 101
Carson City, NV 89701-5389
Phone
(775) 887-5683
NPI assigned
Apr 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2016

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

Authorized official

Name
Ms. Cassiah Lynn Depew
Title
Area Manager
Phone
(702) 249-0837

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5921PCS-7 NV Primary

Addresses

Primary practice location

343 Fairview Dr Ste 101
Carson City, NV 89701-5389

Mailing address

343 Fairview Dr Ste 101
Carson City, NV 89701-5389
Phone (775) 887-5683

Other identifiers 2

IdentifierTypeStateIssuer
1114007101MedicaidNV
9005057011MedicaidNV

Other names 1

  • Advanced Home Health Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Services of Nevada8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

NPI Registry JSON

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

{
    "created_epoch": "1461196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461196800000",
    "number": "1194179549",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015389",
            "telephone_number": "775-887-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR STE 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015389",
            "telephone_number": "775-887-5683"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-21",
        "last_updated": "2016-04-21",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "CASSIAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "702-249-0837",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5921PCS-7",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1114007101",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005057011",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Health Care",
            "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 Apr 21, 2016; 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.