Organization Active NPI

More to Life Adult Day Health Center, LLC

  • Adult Day Care Clinic/Center
  • Sparks, NV
National Provider Identifier
1841511938
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
5907 ADC-0 Issued in NV
Legal business name
MORE TO LIFE ADULT DAY HEALTH CENTER, LLC
Practice address
1963 E Prater Way
Suite 103
Sparks, NV 89434-8938
Phone
(775) 358-1988
Fax
(775) 358-1588
NPI assigned
Jun 13, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Mr. Jeff B Dold
Title
Director
Phone
(775) 358-1988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 5907 ADC-0 NV Primary

Addresses

Primary practice location

1963 E Prater Way
Suite 103
Sparks, NV 89434-8938

Mailing address

1963 E Prater Way
Suite 103
Sparks, NV 89434-8938
Phone (775) 358-1988

Other identifiers 1

IdentifierTypeStateIssuer
9005056377MedicaidNV

National Provider Directory

National Provider Directory

Locations

1963 E Prater Way
Ste 103
Sparks, NV 89434
Phone (775) 358-1988

NPI Registry JSON

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

{
    "created_epoch": "1276387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1841511938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 E PRATER WAY",
            "address_2": "SUITE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348938",
            "telephone_number": "775-358-1988",
            "fax_number": "775-358-1588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 E PRATER WAY",
            "address_2": "SUITE 103",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894348938",
            "telephone_number": "775-358-1988",
            "fax_number": "775-358-1588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MORE TO LIFE ADULT DAY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-13",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "DOLD",
        "authorized_official_first_name": "JEFF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-358-1988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NV",
            "license": "5907 ADC-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005056377",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Apr 23, 2014; 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.