Organization Active NPI

Mt. Olive Care, LLC

Doing business as Mt. Olive Care

  • Clinical Social Worker
  • Reno, NV
National Provider Identifier
1316521784
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
MT. OLIVE CARE, LLC
Doing business as
Mt. Olive Care
Practice address
1325 Airmotive Way Ste 100
Reno, NV 89502-3294
Phone
(775) 348-4989
Fax
(775) 348-4986
NPI assigned
May 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Authorized official

Name
Joan Leahy
Title
Qidp
Phone
(775) 348-4989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1325 Airmotive Way Ste 100
Reno, NV 89502-3294

Mailing address

1325 Airmotive Way Ste 100
Reno, NV 89502-3294
Phone (775) 348-4989

Other names 1

  • Mt. Olive Care Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Mt Olive Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1620691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620691200000",
    "number": "1316521784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023294",
            "telephone_number": "775-348-4989",
            "fax_number": "775-348-4986"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY STE 100",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023294",
            "telephone_number": "775-348-4989",
            "fax_number": "775-348-4986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MT. OLIVE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A",
        "authorized_official_last_name": "LEAHY",
        "authorized_official_first_name": "JOAN",
        "authorized_official_title_or_position": "QIDP",
        "authorized_official_telephone_number": "775-348-4989"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mt. Olive Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 May 11, 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.