Organization Active NPI

Tahoe Youth and Family Services

  • Community/Behavioral Health Agency
  • Gardnerville, NV
National Provider Identifier
1700173077
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
TAHOE YOUTH AND FAMILY SERVICES
Practice address
1512 Hwy 395 N.
Suite 3
Gardnerville, NV 89410-5239
Phone
(775) 782-4202
Fax
(775) 782-5055
NPI assigned
Jul 7, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Authorized official

Name
Mr. Cheyanne M Lane
Title
Executive Director
Phone
(530) 541-2445

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X Primary
Supports Brokerage Agency 251X00000X

Addresses

Primary practice location

1512 Hwy 395 N.
Suite 3
Gardnerville, NV 89410-5239

Mailing address

1512 Hwy 395 N.
Suite 3
Gardnerville, NV 89410-5239
Phone (775) 782-4202

Other practice location 1

1021 Fremont Ave
South Lake Tahoe, CA 96150-8136
Phone (530) 541-2445

National Provider Directory

National Provider Directory
Tax ID family
Tahoe Youth and Family Services5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

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

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1309996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713398400000",
    "number": "1700173077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1512 HWY 395 N.",
            "address_2": "SUITE 3",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105239",
            "telephone_number": "775-782-4202",
            "fax_number": "775-782-5055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1512 HWY 395 N.",
            "address_2": "SUITE 3",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894105239",
            "telephone_number": "775-782-4202",
            "fax_number": "775-782-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1021 Fremont Ave",
            "address_purpose": "LOCATION",
            "city": "South Lake Tahoe",
            "state": "CA",
            "postal_code": "961508136",
            "country_code": "US",
            "telephone_number": "530-541-2445",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TAHOE YOUTH AND FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-07",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "CHEYANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "530-541-2445",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gardnerville, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; 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.