Nevada Prime Healthcare LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

NEVADA PRIME HEALTHCARE LLC

Practice address

1840 Cascade Stable Dr
Reno, NV 89521-4504

Phone

(757) 375-8649

NPI assigned

Feb 4, 2019

Organization subpart

No

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

Authorized official

Name

Jared Koler

Title

Sales Manager

Phone

(775) 375-8649

Specialties & licenses 1

Addresses

Other names 1

• Nevada Prime Healthcare LLC Former legal business name

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

{
    "created_epoch": "1549238400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549238400000",
    "number": "1225593262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 CASCADE STABLE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214504",
            "telephone_number": "757-375-8649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 CASCADE STABLE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214504",
            "telephone_number": "757-375-8649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA PRIME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-04",
        "last_updated": "2019-02-04",
        "status": "A",
        "authorized_official_last_name": "KOLER",
        "authorized_official_first_name": "JARED",
        "authorized_official_title_or_position": "SALES MANAGER",
        "authorized_official_telephone_number": "775-375-8649"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nevada Prime Healthcare LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• All providers in Reno, NV
• Durable Medical Equipment & Medical Supplies in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; 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.