NPIMap

Organization Active NPI

Sonoma Industries

  • Respite Care
  • Winnemucca, NV
National Provider Identifier
1700334372
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
SONOMA INDUSTRIES
Practice address
3280 Bengochea Cir
Winnemucca, NV 89445-2627
Phone
(775) 625-3939
NPI assigned
Sep 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mr. Chuck Lizer
Title
Cfo
Phone
(775) 625-3939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

3280 Bengochea Cir
Winnemucca, NV 89445-2627

Mailing address

PO Box 131
Winnemucca, NV 89446-0131
Phone (775) 625-3939

Other identifiers 1

IdentifierTypeStateIssuer
9005038763MedicaidNV

National Provider Directory

National Provider Directory
Tax ID family
Northern Nevada Human Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1473724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1700334372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 131",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894460131",
            "telephone_number": "775-625-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3280 BENGOCHEA CIR",
            "city": "WINNEMUCCA",
            "state": "NV",
            "postal_code": "894452627",
            "telephone_number": "775-625-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONOMA INDUSTRIES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-13",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "LIZER",
        "authorized_official_first_name": "CHUCK",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "775-625-3939",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005038763",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winnemucca, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2016; 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.