NPIMap

Organization Active NPI

Prime Healthcare Services Reno LLC

  • Rehabilitation Hospital Unit
  • Reno, NV
National Provider Identifier
1851658025
Registry record updated Nov 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Hospital UnitTaxonomy code 273Y00000X
Legal business name
PRIME HEALTHCARE SERVICES RENO LLC
Practice address
235 W 6TH St
Reno, NV 89503-4548
Phone
(775) 770-3000
NPI assigned
Apr 12, 2012
Last updated
Nov 26, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2013

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

Authorized official

Name
Radha A. Savitala
Title
Deputy General Counsel
Phone
(909) 235-4308

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Hospital Unit 273Y00000X NV Primary

Addresses

Primary practice location

235 W 6TH St
Reno, NV 89503-4548

Mailing address

235 W 6TH St
Reno, NV 89503-4548
Phone (775) 770-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120803000556 NV Part A Provider - Hospital 2062668205 2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Reno, NV

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1851658025. Details of each certification follow.

Hospital certification: CCN 290009

Legal name
PRIME HEALTHCARE SERVICES - RENO LLC
Doing business as
SAINT MARY'S REGIONAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 7, 2019
Beds
380
Ownership / control type
Private (for profit)
Most recent change of ownership
Jan 1, 2007 (1 total)
Organization structure
LLCProprietary
Incorporated
Apr 3, 2012 in DE
Enrollment address
235 W 6TH St
Reno, NV 89503-4548
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Saint Mary's Regional Medical CenterCCN 290009 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Proprietary
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Deborah Day Individual Corporate DirectorDirector Jan 1, 2014
Dennis T Yamamoto Individual Corporate DirectorDirector Jan 1, 2014
Prime Healthcare Services, Inc Organization, Ontario, CA For-profit 5% Or Greater Direct Ownership Interest Jul 1, 2012 100%
Other Apr 3, 2012
Richard H Bryan Individual Corporate DirectorDirector Jan 1, 2014
Barbara Curti Individual Corporate DirectorDirector Jan 1, 2014
Luis Leon Individual Corporate OfficerChief Operating Officer Jul 1, 2012
Barbara Campbell Individual Corporate DirectorDirector Jan 1, 2014
Steven Aleman Individual OtherChief Financial Officer Jun 1, 2020
Christopher Doan Individual Corporate OfficerChief Compliance Counsel Jul 1, 2017
Jennifer M Wilson Individual Corporate DirectorDirector Jan 1, 2014
Tiffany Coury Individual Corporate OfficerChief Executive Officer Jan 13, 2020
Corporate DirectorDirector Jan 13, 2020
W-2 Managing EmployeeChief Executive Officer Jan 13, 2020

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 300

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 300

NPI Registry JSON

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

{
    "created_epoch": "1334188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1385424000000",
    "number": "1851658025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 W 6TH ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034548",
            "telephone_number": "775-770-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRIME HEALTHCARE SERVICES RENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-12",
        "last_updated": "2013-11-26",
        "status": "A",
        "authorized_official_last_name": "SAVITALA",
        "authorized_official_first_name": "RADHA",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "DEPUTY GENERAL COUNSEL",
        "authorized_official_telephone_number": "909-235-4308"
    },
    "taxonomies": [
        {
            "code": "273Y00000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Unit",
            "state": "NV",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.