NPIMap

Organization Active NPI

Medical Services of Nevada Inc

  • In Home Supportive Care Agency
  • Carson City, NV
National Provider Identifier
1699191817
Registry record updated Mar 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
5921PCS-5 Issued in NV
Legal business name
MEDICAL SERVICES OF NEVADA INC
Practice address
343 Fairview Dr
Unit 101
Carson City, NV 89701-5798
Phone
(775) 887-5683
Fax
(775) 887-5677
NPI assigned
Mar 12, 2014
Organization subpart
Yes
Parent organization
MEDICAL SERVICES OF NEVADA INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 12, 2014

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

Authorized official

Name
Cassiah Depew
Title
Area Manager
Phone
(775) 887-5683

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 5921PCS-5 NV Primary

Addresses

Primary practice location

343 Fairview Dr
Unit 101
Carson City, NV 89701-5798

Mailing address

343 Fairview Dr
Unit 101
Carson City, NV 89701
Phone (775) 887-5683

Other identifiers 1

IdentifierTypeStateIssuer
9005057011MedicaidNV

Other names 1

  • Advanced Home Health Care Doing business as

National Provider Directory

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

Other organizations with this tax ID 7

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

Locations

343 Fairview Dr
Ste 101
Carson City, NV 89701
Phone (775) 887-5683

NPI Registry JSON

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

{
    "created_epoch": "1394582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394582400000",
    "number": "1699191817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR",
            "address_2": "UNIT 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "89701",
            "telephone_number": "775-887-5683",
            "fax_number": "775-887-5677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "343 FAIRVIEW DR",
            "address_2": "UNIT 101",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897015798",
            "telephone_number": "775-887-5683",
            "fax_number": "775-887-5677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL SERVICES OF NEVADA INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL SERVICES OF NEVADA INC",
        "enumeration_date": "2014-03-12",
        "last_updated": "2014-03-12",
        "status": "A",
        "authorized_official_last_name": "DEPEW",
        "authorized_official_first_name": "CASSIAH",
        "authorized_official_title_or_position": "AREA MANAGER",
        "authorized_official_telephone_number": "775-887-5683"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NV",
            "license": "5921PCS-5",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005057011",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Home Health Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2014; 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.