Organization Active NPI

Prime Healthcare Services Reno LLC

  • Home Health Agency
  • Reno, NV
National Provider Identifier
1578820742
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
PRIME HEALTHCARE SERVICES RENO LLC
Practice address
235 W 6TH St
Home Health
Reno, NV 89503-4548
Phone
(775) 770-3000
NPI assigned
Apr 12, 2012
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Radha A. Savitala
Title
Deputy General Counsel
Phone
(909) 235-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X NV Primary

Addresses

Primary practice location

235 W 6TH St
Home Health
Reno, NV 89503-4548

Mailing address

18653 Wedge Pkwy
Home Health
Reno, NV 89511-3323
Phone (775) 770-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

18653 Wedge Pkwy
Reno, NV 89511
Phone (775) 323-7500

235 W 6th St
Reno, NV 89503
Phone (775) 746-3202

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
May 1, 2018 Change of OwnershipThis provider was the seller Saint Mary's Home Care ServicesCCN 297008, NV, NPI 1053811455

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1578820742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY",
            "address_2": "HOME HEALTH",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113323",
            "telephone_number": "775-770-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "address_2": "HOME HEALTH",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES RENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SAVITALA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4308"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.