Organization Active NPI

Breath of Life

  • Respite Care
  • Sparks, NV
National Provider Identifier
1407201924
Registry record updated Oct 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
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

Updated by the provider on Oct 17, 2019

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

Authorized official

Name
Bernadette CooperNPI 1598121006
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)CodeLicenseStatePrimary
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 Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.