Active NPI
Tahoe Youth and Family Services
- Community/Behavioral Health Agency
- Gardnerville, NV
National Provider Identifier
1700173077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 Services
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Voluntary or Charitable Agency
- Incline Village, NV
- NPI 1063859072
-
- Community/Behavioral Health Agency
- Markleeville, CA
- NPI 1063822492
-
- Community/Behavioral Health Agency
- South Lake Tahoe, CA
- NPI 1801188826
-
- Community/Behavioral Health Agency
- South Lake Tahoe, CA
- NPI 1790805216
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.
-
- Voluntary or Charitable Agency
- Incline Village, NV
- NPI 1063859072
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.