Carson Tahoe MC Healthcare LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

Legal business name

CARSON TAHOE MC HEALTHCARE LLC

Doing business as

Sierra Basin Memory Care

Practice address

1001 Mountain St
Carson City, NV 89703-3848

Phone

(775) 443-4900

NPI assigned

Jun 12, 2024

Last updated

Aug 20, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

John Mitchell

Title

Secretary

Phone

(385) 988-3319

Specialties & licenses 1

Addresses

Other names 1

• Sierra Basin Memory Care Doing business as

Locations

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724112000000",
    "number": "1437991072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "262 N UNIVERSITY AVE",
            "city": "FARMINGTON",
            "state": "UT",
            "postal_code": "840252975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897033848",
            "telephone_number": "775-443-4900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE MC HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "385-988-3319"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sierra Basin Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carson Tahoe Behavioral Health Services
• Carson Tahoe Cardiology
• Carson Tahoe Continuing Care Hospital Inc
• Carson Tahoe Emergency Physicians
• Carson Tahoe Endocrinology LLC
• Carson Tahoe Physician Clinics
• Carson Tahoe Physician Clinics
• Carson Tahoe Physician Clinics
• Carson Tahoe Physician Clinics
• Carson Tahoe Physician Clinics

• Alzheimer Center (Dementia Center) in Carson City, NV
• Providers in Carson City, NV by specialty
• Alzheimer Center (Dementia Center) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.