NPIMap

Organization Active NPI

Carson Tahoe Continuing Care Hospital Inc

  • Long Term Care Hospital
  • Carson City, NV
National Provider Identifier
1780869115
Registry record updated Apr 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
CARSON TAHOE CONTINUING CARE HOSPITAL INC
Practice address
775 Fleischmann Way
2ND Floor
Carson City, NV 89703-2995
Phone
(775) 445-7790
NPI assigned
Jan 3, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2022

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

Authorized official

Name
Katie Kucera
Title
VP Cfo
Phone
(775) 445-5543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X Primary

Addresses

Primary practice location

775 Fleischmann Way
2ND Floor
Carson City, NV 89703-2995

Mailing address

775 Fleischmann Way
2ND Floor
Carson City, NV 89703-2995
Phone (775) 445-7790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780869115. Details of each certification follow.

Hospital certification: CCN 292008

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CARSON TAHOE CONTINUING CARE HOSPITAL
Certification status
Terminated Voluntary: merger or closure, Jun 12, 2023
Provider type (POS)
Hospital – Long-term
Participating since
Mar 1, 2009
Last certification
Jun 14, 2019
Beds
29
Ownership / control type
Private (not for profit)
Facility address
775 Fleischmann Way 2ND FLR
Carson City, NV 89703

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1650412800000",
    "number": "1780869115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "address_2": "2ND FLOOR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-7790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 FLEISCHMANN WAY",
            "address_2": "2ND FLOOR",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897032995",
            "telephone_number": "775-445-7790"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARSON TAHOE CONTINUING CARE HOSPITAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-03",
        "last_updated": "2022-04-20",
        "certification_date": "2022-04-20",
        "status": "A",
        "authorized_official_last_name": "KUCERA",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "VP CFO",
        "authorized_official_telephone_number": "775-445-5543"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.