Northern Nevada Human Services

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

NORTHERN NEVADA HUMAN SERVICES

Practice address

1203 E Wmca Blvd
Winnemucca, NV 89445-2908

Phone

(775) 625-7350

NPI assigned

Apr 28, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Chuck Lizer IV

Title

Cfo

Phone

(775) 625-7350

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sonoma Industries Doing business as

Locations

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

{
    "created_epoch": "1619568000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619740800000",
    "number": "1306429360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 106",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894460106",
            "telephone_number": "775-625-7350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1203 E WMCA BLVD",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894452908",
            "telephone_number": "775-625-7350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN NEVADA HUMAN SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-28",
        "last_updated": "2021-04-30",
        "certification_date": "2021-04-30",
        "status": "A",
        "authorized_official_last_name": "LIZER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-625-7350",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "IV"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417317025",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sonoma Industries",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nevada State Health Division/Far Nursin
• Krysta Mariel Ngo
• Silver L Nichols
• Northern Nevada Eyecare LTD
• Northern Nevada Eyecare LTD
• Northern Nevada Human Services
• Northstar Imaging Inc
• Northstar Radiology
• Tammy Lea Palm
• Karen Palmer, OTR/L

• All providers in Winnemucca, NV
• Respite Care in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2021; 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.