Bristlecone Family Resources

Organization Active NPI Substance Abuse Rehabilitation Facility · Reno, NV

NPI 1457515850 · NPPES record last updated Sep 26, 2023

Key facts

NPI
1457515850
Entity type
Organization (NPI type 2)
Primary specialty
Substance Abuse Rehabilitation Facility 324500000X
Legal business name
BRISTLECONE FAMILY RESOURCES
Practice address
704 Mill St
Reno, NV 89502-1321
Phone
(775) 954-1400
Fax
(775) 954-1406
NPI assigned
Jul 15, 2008
Organization subpart
No

Authorized official

Name
Mr. Peter Ott
Title
Executive Director
Phone
(775) 954-1400

Corporate family (same tax ID) 2

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

Practitioners 20

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

National Provider Directory

Tax ID family
Bristlecone Family Resources (3 organizations share this tax ID)

Locations

704 Mill St
Ste 775954
Reno, NV 89502

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Yes

Addresses

Primary practice location

704 Mill St
Reno, NV 89502-1321

Mailing address

704 Mill St
Reno, NV 89502-1321
Phone (775) 954-1400

Other names

  • Bristlecone Recovery Center Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Sep 26, 2023.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695686400000",
    "number": "1457515850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021321",
            "telephone_number": "775-954-1400",
            "fax_number": "775-954-1406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 MILL ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021321",
            "telephone_number": "775-954-1400",
            "fax_number": "775-954-1406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTLECONE FAMILY RESOURCES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-15",
        "last_updated": "2023-09-26",
        "certification_date": "2023-09-26",
        "status": "A",
        "authorized_official_last_name": "OTT",
        "authorized_official_first_name": "PETER",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-954-1400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bristlecone Recovery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

All providers in Reno, NV · Substance Abuse Rehabilitation Facility in Nevada

Sources for this page

Verify at the official NPI Registry.