Organization Active NPI

Ruby Mountain Resource Center

  • Respite Care
  • Elko, NV
National Provider Identifier
1285097121
Registry record updated Mar 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
RUBY MOUNTAIN RESOURCE CENTER
Practice address
806 River St
Elko, NV 89801-3842
Phone
(775) 738-8360
Fax
(775) 753-9689
NPI assigned
Mar 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2016

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

Authorized official

Name
Rebecca Hepworth
Title
Executive Director
Phone
(775) 738-8360

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

806 River St
Elko, NV 89801-3842

Mailing address

PO Box 1708
Elko, NV 89803-1708
Phone (775) 738-8360

Other identifiers 1

IdentifierTypeStateIssuer
AI9005038516MedicaidNV

National Provider Directory

National Provider Directory

Locations

806 River St
Elko, NV 89801
Phone (775) 738-8360

NPI Registry JSON

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1285097121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1708",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898031708",
            "telephone_number": "775-738-8360",
            "fax_number": "775-753-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 RIVER ST",
            "city": "ELKO",
            "state": "NV",
            "postal_code": "898013842",
            "telephone_number": "775-738-8360",
            "fax_number": "775-753-9689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RUBY MOUNTAIN RESOURCE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "HEPWORTH",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-738-8360"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AI9005038516",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elko, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2016; 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.