NPIMap

Organization Active NPI

Etxea Services

Doing business as Etxea Community Services

  • Community/Behavioral Health Agency
  • Sparks, NV
National Provider Identifier
1700188430
Registry record updated Dec 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
ETXEA SERVICES
Doing business as
Etxea Community Services
Practice address
741 Rancho Villa Drive
Sparks, NV 89434
Phone
(775) 453-1502
Fax
(775) 453-1502
NPI assigned
Dec 1, 2010
Last updated
Dec 1, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2010

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

Authorized official

Name
Mr. Bertrand Itthuralde, MSW, LSW
Title
Executive Director, Founder
Phone
(775) 247-3994

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

741 Rancho Villa Drive
Sparks, NV 89434

Mailing address

741 Rancho Villa Drive
Sparks, NV 89434
Phone (775) 453-1502

Other identifiers 1

IdentifierTypeStateIssuer
1007730358-001MedicaidNV

Other names 1

  • Etxea Community Services Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Etxea Services4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1291161600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291161600000",
    "number": "1700188430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "741 RANCHO VILLA DRIVE",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89434",
            "telephone_number": "775-453-1502",
            "fax_number": "775-453-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "741 RANCHO VILLA DRIVE",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "89434",
            "telephone_number": "775-453-1502",
            "fax_number": "775-453-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETXEA SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-01",
        "last_updated": "2010-12-01",
        "status": "A",
        "authorized_official_last_name": "ITTHURALDE",
        "authorized_official_first_name": "BERTRAND",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR, FOUNDER",
        "authorized_official_telephone_number": "775-247-3994",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW, LSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1007730358-001",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Etxea Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2010; 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.