NPIMap

Organization Active NPI

Nova Behavioral Services, LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Sparks, NV
National Provider Identifier
1417273699
Registry record updated Aug 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
NV20101103448 Issued in NV
Legal business name
NOVA BEHAVIORAL SERVICES, LLC
Practice address
4860 Vista Blvd
Suite 200
Sparks, NV 89436-2863
Phone
(186) 683-2301
NPI assigned
Apr 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2012

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

Authorized official

Name
Kevin Cummings
Title
Chief Executive Officer
Phone
(775) 276-3744

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X NV20101103448 NV Primary

Addresses

Primary practice location

4860 Vista Blvd
Suite 200
Sparks, NV 89436-2863

Mailing address

PO Box 51354
Sparks, NV 89435
Phone (775) 276-3744

National Provider Directory

National Provider Directory
Tax ID family
Nova Behavioral Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1271203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1346112000000",
    "number": "1417273699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51354",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89435",
            "telephone_number": "775-276-3744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4860 VISTA BLVD",
            "address_2": "SUITE 200",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894362863",
            "telephone_number": "186-683-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOVA BEHAVIORAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-14",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "CUMMINGS",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "775-276-3744"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20101103448",
            "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 Aug 28, 2012; 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.