Active NPI
Renown Skilled Nursing
- Skilled Nursing Facility
- Sparks, NV
National Provider Identifier
1275503591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 1217SNF-14
- Legal business name
- RENOWN SKILLED NURSING
- Practice address
- 1835 Oddie Blvd
Sparks, NV 89431-3559 - Phone
- (775) 982-5140
- Fax
- (775) 982-5141
- NPI assigned
- Jan 26, 2006
- 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
- Mr. Brett Moore
- Title
- Cfo Acute Care
- Phone
- (775) 982-6343
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 1217SNF-14 | NV | Primary |
Addresses
Primary practice location
1835 Oddie Blvd
Sparks, NV 89431-3559
Mailing address
1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1762732800000",
"number": "1275503591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 MILL ST # M14",
"city": "RENO",
"state": "NV",
"postal_code": "895021576",
"telephone_number": "775-982-5262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1835 ODDIE BLVD",
"city": "SPARKS",
"state": "NV",
"postal_code": "894313559",
"telephone_number": "775-982-5140",
"fax_number": "775-982-5141"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RENOWN SKILLED NURSING",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-26",
"last_updated": "2025-11-10",
"certification_date": "2025-11-10",
"status": "A",
"authorized_official_last_name": "MOORE",
"authorized_official_first_name": "BRETT",
"authorized_official_title_or_position": "CFO ACUTE CARE",
"authorized_official_telephone_number": "775-982-6343",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "NV",
"license": "1217SNF-14",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sparks, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.