Thi of Nevada at Hearthstone, LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

1186SNF14 Issued in NV

Legal business name

THI OF NEVADA AT HEARTHSTONE, LLC

Doing business as

Hearthstone of Northern Nevada

Practice address

1950 Baring Blvd
Sparks, NV 89434-6735

Phone

(775) 626-2224

NPI assigned

May 29, 2007

Organization subpart

No

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

Authorized official

Name

Molly Larson

Title

President

Phone

(775) 626-2224

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Hearthstone of Northern Nevada Doing business as

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

{
    "created_epoch": "1180396800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309219200000",
    "number": "1457552564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 RIDGEBROOK RD",
            "city": "SPARKS",
            "state": "MD",
            "postal_code": "211529390",
            "telephone_number": "410-773-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BARING BLVD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894346735",
            "telephone_number": "775-626-2224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THI OF NEVADA AT HEARTHSTONE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-29",
        "last_updated": "2011-06-28",
        "status": "A",
        "authorized_official_last_name": "LARSON",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "775-626-2224"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NV",
            "license": "1186SNF14",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100508867",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearthstone of Northern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Lisa Thayer, APRN
• The Daily Fill LLC
• The Life Change Center
• The Robison House
• The Sparks NV Endoscopy ASC LLC (Los Altos Medical Center)
• Thi of Nevada at Hearthstone, LLC (Hearthstone of Northern Nevada)
• Alicia Thomas
• Ashley Thomas
• Carl Filmore Thomas III, MD
• Carry Ann Thomas

• Skilled Nursing Facility in Sparks, NV
• Providers in Sparks, NV by specialty
• Skilled Nursing Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2011; 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.