Organization Active NPI

Dignity Health

Doing business as Hospice of Northern Nevada

  • Community Based Hospice Care Agency
  • Reno, NV
National Provider Identifier
1659437135
Registry record updated Mar 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Based Hospice Care AgencyTaxonomy code 251G00000X
License
676HPC-17 Issued in NV
Legal business name
DIGNITY HEALTH
Doing business as
Hospice of Northern Nevada
Practice address
18653 Wedge Pkwy
Reno, NV 89511-3005
Phone
(775) 770-3081
Fax
(775) 770-3909
NPI assigned
Dec 28, 2006
Organization subpart
Yes
Parent organization
DIGNITY HEALTHAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 28, 2012

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

Authorized official

Name
John Deakyne
Title
Chief Financial Officer
Phone
(775) 770-6239

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Based Hospice Care Agency 251G00000X 676HPC-17 NV Primary

Addresses

Primary practice location

18653 Wedge Pkwy
Reno, NV 89511-3005

Mailing address

18653 Wedge Pkwy
Reno, NV 89511-3005
Phone (775) 770-3081

Other identifiers 3

IdentifierTypeStateIssuer
880059665OtherIRS - SP TAX ID
006416009MedicaidNV
006516009MedicaidNV

Other names 1

  • Hospice of Northern Nevada Doing business as

National Provider Directory

National Provider Directory
Part of
Dignity Healthcare

NPI Registry JSON

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

{
    "created_epoch": "1167264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332892800000",
    "number": "1659437135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113005",
            "telephone_number": "775-770-3081",
            "fax_number": "775-770-3909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18653 WEDGE PKWY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895113005",
            "telephone_number": "775-770-3081",
            "fax_number": "775-770-3909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGNITY HEALTH",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "DIGNITY HEALTH",
        "enumeration_date": "2006-12-28",
        "last_updated": "2012-03-28",
        "status": "A",
        "authorized_official_last_name": "DEAKYNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "775-770-6239"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": "NV",
            "license": "676HPC-17",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS - SP TAX ID",
            "identifier": "880059665",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006416009",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006516009",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospice of Northern Nevada",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Mar 28, 2012; 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.