Fallon Hearts at Home

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

FALLON HEARTS AT HOME

Practice address

40 E Center St
Suite 21
Fallon, NV 89406-3475

Phone

(775) 666-4000

Fax

(775) 423-5432

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Jacque A Manley

Title

Partner

Phone

(775) 666-4000

Specialties & licenses 1

Addresses

Other names 1

• Hearts At Home Doing business as

Locations

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481500800000",
    "number": "1508300450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 E CENTER ST",
            "address_2": "SUITE 21",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063475",
            "telephone_number": "775-666-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 E CENTER ST",
            "address_2": "SUITE 21",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894063475",
            "telephone_number": "775-666-4000",
            "fax_number": "775-423-5432"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FALLON HEARTS AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2016-12-12",
        "status": "A",
        "authorized_official_last_name": "MANLEY",
        "authorized_official_first_name": "JACQUE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "775-666-4000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearts At Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Linn Evans, ARNP-BC
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• Family Medical Center

• In Home Supportive Care Agency in Fallon, NV
• Providers in Fallon, NV by specialty
• In Home Supportive Care Agency in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2016; 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.