Organization Active NPI

Great Basin Home Health,LLC.

  • Home Health Agency
  • Gardnerville, NV
National Provider Identifier
1336451491
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
NV20101453337 Issued in NV
Legal business name
GREAT BASIN HOME HEALTH,LLC.
Practice address
1528 US Highway 395 N Ste 245
Gardnerville, NV 89410-5285
Phone
(775) 392-1188
Fax
(775) 392-1199
NPI assigned
Jul 6, 2010
Last updated
Jul 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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

Authorized official

Name
Miss Nicole I Smith
Title
Manager / Administrator
Phone
(775) 392-1188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV20101453337 NV Primary

Addresses

Primary practice location

1528 US Highway 395 N Ste 245
Gardnerville, NV 89410-5285

Mailing address

1528 US Highway 395 N Ste 245
Gardnerville, NV 89410-5285
Phone (775) 392-1188

National Provider Directory

National Provider Directory

Locations

1528 US Highway 395 N
Ste 245
Gardnerville, NV 89410
Phone (775) 392-1188

NPI Registry JSON

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

{
    "created_epoch": "1278374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278374400000",
    "number": "1336451491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1528 US HIGHWAY 395 N STE 245",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105285",
            "telephone_number": "775-392-1188",
            "fax_number": "775-392-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1528 US HIGHWAY 395 N STE 245",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105285",
            "telephone_number": "775-392-1188",
            "fax_number": "775-392-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREAT BASIN HOME HEALTH,LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-06",
        "last_updated": "2010-07-06",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_middle_name": "I",
        "authorized_official_title_or_position": "MANAGER / ADMINISTRATOR",
        "authorized_official_telephone_number": "775-392-1188",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": "NV20101453337",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.