Organization Active NPI

Mountain Springs Assisted Living

  • Assisted Living Facility (Behavioral Disturbances)
  • Carson City, NV
National Provider Identifier
1225259690
Registry record updated Jul 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
313AGC-13 Issued in NV
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

Updated by the provider on Jul 22, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
005713015MedicaidNV

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.