Organization Active NPI

Pride House

  • Mental Illness Community Based Residential Treatment Facility
  • Reno, NV
National Provider Identifier
1265747695
Registry record updated Aug 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PRIDE HOUSE
Practice address
2470 Wrondel Way
Reno, NV 89502-3701
Phone
(775) 762-6048
NPI assigned
Aug 10, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2010

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

Authorized official

Name
Vicki McVeigh, MBA
Title
Chief Executive Officer
Phone
(775) 762-6048

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2470 Wrondel Way
Reno, NV 89502-3701

Mailing address

2470 Wrondel Way
Reno, NV 89502-3701
Phone (775) 762-6048

Other identifiers 1

IdentifierTypeStateIssuer
100505100MedicaidNV

National Provider Directory

National Provider Directory

Locations

2470 Wrondel Way
Reno, NV 89502
Phone (775) 351-2211

NPI Registry JSON

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

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281398400000",
    "number": "1265747695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WRONDEL WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023701",
            "telephone_number": "775-762-6048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WRONDEL WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023701",
            "telephone_number": "775-762-6048"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIDE HOUSE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-10",
        "last_updated": "2010-08-10",
        "status": "A",
        "authorized_official_last_name": "MCVEIGH",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "775-762-6048",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100505100",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2010; 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.