Organization Active NPI

Lifetime Assistance

  • Mental Illness Community Based Residential Treatment Facility
  • Sparks, NV
National Provider Identifier
1366812729
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
NV20151459312 Issued in NV
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, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.