Active NPI
Mountain Springs Assisted Living
- Assisted Living Facility (Behavioral Disturbances)
- Carson City, NV
National Provider Identifier
1225259690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)
- License
- 313AGC-13
- Legal business name
- MOUNTAIN SPRINGS ASSISTED LIVING
- Practice address
- 2861 Mountain St
Carson City, NV 89703-1539 - Phone
- (775) 885-9223
- Fax
- (775) 885-8050
- NPI assigned
- May 1, 2007
- 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
- Ms. Joey L Parker, MAOM
- Title
- Business Office Manager
- Phone
- (775) 885-9223
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility (Behavioral Disturbances) | 3104A0630X | 313AGC-13 | NV | Primary |
Addresses
Primary practice location
2861 Mountain St
Carson City, NV 89703-1539
Mailing address
2861 Mountain St
Carson City, NV 89703-1539
Phone (775) 885-9223
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005713015 | Medicaid | NV |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177977600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1216684800000",
"number": "1225259690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2861 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897031539",
"telephone_number": "775-885-9223",
"fax_number": "775-885-8050"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2861 MOUNTAIN ST",
"city": "CARSON CITY",
"state": "NV",
"postal_code": "897031539",
"telephone_number": "775-885-9223",
"fax_number": "775-885-8050"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MOUNTAIN SPRINGS ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-01",
"last_updated": "2008-07-22",
"status": "A",
"authorized_official_last_name": "PARKER",
"authorized_official_first_name": "JOEY",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
"authorized_official_telephone_number": "775-885-9223",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "MAOM"
},
"taxonomies": [
{
"code": "3104A0630X",
"taxonomy_group": "",
"desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
"state": "NV",
"license": "313AGC-13",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "005713015",
"state": "NV"
}
],
"endpoints": [],
"other_names": []
}
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 Jul 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.