NPIMap

Organization Active NPI

Medical Services of Nevada

  • In Home Supportive Care Agency
  • Reno, NV
National Provider Identifier
1548508591
Registry record updated Jan 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5445PCS-3 Issued in NV
Legal business name
MEDICAL SERVICES OF NEVADA
Practice address
1325 Airmotive Way
Reno, NV 89502-3201
Phone
(775) 828-6420
NPI assigned
Jan 25, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2013

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

Authorized official

Name
Cassiah DepewNPI 1336648369
Title
Administrator
Phone
(775) 828-6420

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5445PCS-3 NV Primary

Addresses

Primary practice location

1325 Airmotive Way
Reno, NV 89502-3201

Mailing address

1325 Airmotive Way
Reno, NV 89502-3201
Phone (775) 828-6420

Other identifiers 3

IdentifierTypeStateIssuer
1427138338MedicaidNV
9005042153MedicaidNV
9005005382MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Medical Services of Nevada8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

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

Locations

1325 Airmotive Way
Reno, NV 89502
Phone (775) 357-2623

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1359072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359072000000",
    "number": "1548508591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023201",
            "telephone_number": "775-828-6420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1325 AIRMOTIVE WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895023201",
            "telephone_number": "775-828-6420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF NEVADA",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-25",
        "last_updated": "2013-01-25",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "CASSIAH",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-828-6420"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5445PCS-3",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1427138338",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005042153",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005005382",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2013; 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.