Rising Star

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

NV20151493769 Issued in NV

Legal business name

RISING STAR

Practice address

975 Locomotive Way
Sparks, NV 89434-5806

Phone

(775) 688-9360

NPI assigned

Sep 12, 2015

Organization subpart

No

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

Authorized official

Name

Ms. Kimberly Hodges

Title

Owner/Operator

Phone

(775) 688-9360

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1442016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1442016000000",
    "number": "1780052365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "975 LOCOMOTIVE WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894345806",
            "telephone_number": "775-688-9360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "975 LOCOMOTIVE WAY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894345806",
            "telephone_number": "775-688-9360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-12",
        "last_updated": "2015-09-12",
        "status": "A",
        "authorized_official_last_name": "HODGES",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "775-688-9360",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NV",
            "license": "NV20151493769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Rietta-Wong, M.A MFT
• Randal John Riha, MD
• Gabriella Rincon Maqueda
• Connor Riordan
• Riva Rios, APRN-CNP FNP-BC
• Alexandra Paredes Rivera
• Alexaundra Rivera
• Jenna Riviera, BA
• Stephanie Robards
• Robert Brandenburg

• Mental Illness Community Based Residential Treatment Facility in Sparks, NV
• Providers in Sparks, NV by specialty
• Mental Illness Community Based Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2015; 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.