Active NPI
Lifetime Assistance
- Mental Illness Community Based Residential Treatment Facility
- Sparks, NV
National Provider Identifier
1366812729
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- NV20151459312
- Legal business name
- LIFETIME ASSISTANCE
- Practice address
- 1877 El Rancho Dr Apt 22
Sparks, NV 89431-1080 - Phone
- (775) 386-4784
- NPI assigned
- Sep 29, 2015
- Last updated
- Sep 29, 2015
- 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
- Ariell Olivia Dix, QMHA
- Title
- Program Director
- Phone
- (775) 386-4784
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Illness Community Based Residential Treatment Facility | 320800000X | NV20151459312 | NV | Primary |
Addresses
Primary practice location
1877 El Rancho Dr Apt 22
Sparks, NV 89431-1080
Mailing address
550 N McCarran Blvd # 402
Sparks, NV 89431-5278
Phone (775) 386-4784
National Provider Directory
National Provider DirectoryLocations
550 N McCarran Blvd
#402
Sparks, NV 89431
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Mental Illness Community Based Residential Treatment Facility
- Sparks, NV
- NPI 1801267356
Community Based Residential Treatment Facility, Mental Illness
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443484800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1443484800000",
"number": "1366812729",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "550 N MCCARRAN BLVD # 402",
"city": "SPARKS",
"state": "NV",
"postal_code": "894315278",
"telephone_number": "775-386-4784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1877 EL RANCHO DR APT 22",
"city": "SPARKS",
"state": "NV",
"postal_code": "894311080",
"telephone_number": "775-386-4784"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFETIME ASSISTANCE",
"organizational_subpart": "NO",
"enumeration_date": "2015-09-29",
"last_updated": "2015-09-29",
"status": "A",
"authorized_official_last_name": "DIX",
"authorized_official_first_name": "ARIELL",
"authorized_official_middle_name": "OLIVIA",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "775-386-4784",
"authorized_official_credential": "QMHA"
},
"taxonomies": [
{
"code": "320800000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Mental Illness",
"state": "NV",
"license": "NV20151459312",
"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 Sep 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.