NPIMap

Organization Active NPI

Reno Behavioral Healthcare Hospital, LLC

  • Psychiatric Hospital
  • Reno, NV
National Provider Identifier
1619488525
Registry record updated Oct 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric HospitalTaxonomy code 283Q00000X
Legal business name
RENO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Practice address
6940 Sierra Center Parkway
Reno, NV 89511
Phone
(248) 905-5091
NPI assigned
Oct 18, 2017
Last updated
Oct 23, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2020

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

Authorized official

Name
Hana Attar
Title
Avp/Managing Counsel
Phone
(248) 905-5091

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital 283Q00000X Primary

Addresses

Primary practice location

6940 Sierra Center Parkway
Reno, NV 89511

Mailing address

6940 Sierra Center Pkwy
Reno, NV 89511-2209
Phone (775) 393-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180410000459 NV Part A Provider - Hospital 5799047510 Practice locations: Reno, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1619488525. Details of each certification follow.

Hospital certification: CCN 294015

Legal name
RENO BEHAVIORAL HEALTHCARE HOSPITAL, LLC
Certification status
Active
Provider type (POS)
Hospital – Psychiatric
Participating since
May 29, 2018
Last certification
Oct 25, 2024
Beds
124
Ownership / control type
Private (for profit)
Organization structure
LLCProprietary
Incorporated
Aug 11, 2016 in NV
Enrollment address
6940 Sierra Center Pkwy
Reno, NV 89511-2209
Other Hospital Practice Location
Hospital subgroups
Psychiatric

Care Compare: Hospital

Medicare Care Compare
Listed as
Reno Behavioral Healthcare Hospital, LLCCCN 294015 · All quality measures
Type
Psychiatric
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Signature Healthcare Services, LLC Organization, Troy, MI LLC, Management services company, For-profit 5% Or Greater Direct Ownership Interest Aug 11, 2016 100%
Allison Zednick Individual Corporate OfficerCeo Sep 1, 2020 100%
Operational/Managerial ControlCeo Sep 1, 2020 100%
John Steinke Individual Corporate OfficerCfo Nov 15, 2021 50%
W-2 Managing EmployeeCfo Nov 15, 2021 50%
Operational/Managerial ControlCfo Nov 15, 2021 50%
Soon Kim Individual 5% Or Greater Indirect Ownership Interest Aug 11, 2016 100%

Facilities with the same owner 16

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 16

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1508284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603411200000",
    "number": "1619488525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6940 SIERRA CENTER PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895112209",
            "telephone_number": "775-393-2200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6940 SIERRA CENTER PARKWAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89511",
            "telephone_number": "248-905-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENO BEHAVIORAL HEALTHCARE HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-18",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A",
        "authorized_official_last_name": "ATTAR",
        "authorized_official_first_name": "HANA",
        "authorized_official_title_or_position": "AVP/MANAGING COUNSEL",
        "authorized_official_telephone_number": "248-905-5091"
    },
    "taxonomies": [
        {
            "code": "283Q00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.