Sankofa Providers of Nevada,Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

NV20141154421 Issued in NV

Legal business name

SANKOFA PROVIDERS OF NEVADA,INC

Practice address

2470 Wrondel Way
Suite #232
Reno, NV 89502-3701

Phone

(775) 336-2813

Fax

(775) 336-2813

NPI assigned

Mar 19, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Kenneth Lynn Arnold Jr.

Title

Owner

Phone

(775) 336-2813

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1395187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395187200000",
    "number": "1487071155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2470 WRONDEL WAY",
            "address_2": "SUITE #232",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023701",
            "telephone_number": "775-336-2813",
            "fax_number": "775-336-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 WRONDEL WAY",
            "address_2": "SUITE #232",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023701",
            "telephone_number": "775-336-2813",
            "fax_number": "775-336-2813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SANKOFA PROVIDERS OF NEVADA,INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-19",
        "last_updated": "2014-03-19",
        "status": "A",
        "authorized_official_last_name": "ARNOLD",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-336-2813",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20141154421",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Sanger, RDN
• Amy Sanguinetti, M.D.
• Lawan Sanitnarathorn
• Sanjay S. Rao M.D., a Medical Corporation Inc.
• Sankofa Providers
• Joseph Robert Sannazzaro, M.A., M.F.T., LADC
• David Sanson
• Heather Sanson
• Odaliss V Santacruz Romero
• Desirea Santana

• Mental Illness Community Based Residential Treatment Facility in Reno, NV
• Providers in Reno, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2014; 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.