Active NPI
Breath of Life
- Respite Care
- Sparks, NV
National Provider Identifier
1407201924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respite Care
- Legal business name
- BREATH OF LIFE
- Practice address
- 4944 Diana CT
Sparks, NV 89436-8634 - Phone
- (775) 354-0707
- Fax
- (775) 626-5880
- NPI assigned
- May 3, 2016
- 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
- Bernadette Cooper
- Title
- Supported Living Arrangement Prov.
- Phone
- (775) 626-5880
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | NV20111404144 | NV | |
| Respite Care | 385H00000X | Primary |
Addresses
Primary practice location
4944 Diana CT
Sparks, NV 89436-8634
Mailing address
1542 Iratcabal Dr
Sparks, NV 89436-8637
Phone (775) 354-0707
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Respite Care
- Sparks, NV
- NPI 1598121006
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462233600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571270400000",
"number": "1407201924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1542 IRATCABAL DR",
"city": "SPARKS",
"state": "NV",
"postal_code": "894368637",
"telephone_number": "775-354-0707",
"fax_number": "775-626-5880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4944 DIANA CT",
"city": "SPARKS",
"state": "NV",
"postal_code": "894368634",
"telephone_number": "775-354-0707",
"fax_number": "775-626-5880"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BREATH OF LIFE",
"organizational_subpart": "NO",
"enumeration_date": "2016-05-03",
"last_updated": "2019-10-17",
"status": "A",
"authorized_official_last_name": "COOPER",
"authorized_official_first_name": "BERNADETTE",
"authorized_official_title_or_position": "SUPPORTED LIVING ARRANGEMENT PROV.",
"authorized_official_telephone_number": "775-626-5880"
},
"taxonomies": [
{
"code": "320900000X",
"taxonomy_group": "",
"desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": "NV",
"license": "NV20111404144",
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"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 Oct 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.