NPIMap

Organization Active NPI

Prime Healthcare Services Reno LLC

  • Community Based Hospice Care Agency
  • Reno, NV
National Provider Identifier
1205193471
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
Legal business name
PRIME HEALTHCARE SERVICES RENO LLC
Practice address
690 Sierra Rose Dr
Reno, NV 89511-2072
Phone
(775) 770-3046
NPI assigned
Apr 12, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Authorized official

Name
Radha A Savitala
Title
Deputy General Counsel
Phone
(909) 235-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X NV Primary

Addresses

Primary practice location

690 Sierra Rose Dr
Reno, NV 89511-2072

Mailing address

690 Sierra Rose Dr
Reno, NV 89511-2072
Phone (775) 770-3046

Other names 1

  • Hospice of Northern Nevada Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

690 Sierra Rose Dr
Reno, NV 89511
Phone (775) 351-8544

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Aug 1, 2018 Change of OwnershipThis provider was the seller St Mary'S Hospice of Northern NevadaCCN 291501, NV, NPI 1811482821

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1449619200000",
    "number": "1205193471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "690 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-770-3046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "690 SIERRA ROSE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112072",
            "telephone_number": "775-770-3046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES RENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2015-12-09",
        "status": "A",
        "authorized_official_last_name": "SAVITALA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4308"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Northern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.