Organization Active NPI

Hometown Health Management Company

Doing business as Renown Health Medical Group

  • Family Medicine Physician
  • Sparks, NV
National Provider Identifier
1861445892
Registry record updated Jun 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HOMETOWN HEALTH MANAGEMENT COMPANY
Doing business as
Renown Health Medical Group
Renown Primary Care
Practice address
1525 Los Altos Pkwy
Sparks, NV 89436-6692
Phone
(775) 982-5000
Fax
(775) 982-3900
NPI assigned
May 19, 2006
Last updated
Jun 7, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2024

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

Authorized official

Name
Mr. Brett Moore
Title
Cfo Acute Care
Phone
(775) 982-6343

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU
Physician Assistant 363A00000X NU
Nurse Practitioner 363L00000X NU
Family Medicine Physician 207Q00000X NU Primary
Internal Medicine Physician 207R00000X NU

Addresses

Primary practice location

1525 Los Altos Pkwy
Sparks, NV 89436-6692

Mailing address

1155 Mill St # M14
Reno, NV 89502-1576
Phone (775) 982-5262

Other practice location 1

101 E Stadium Way
Reno, NV 89557-6692
Phone (775) 982-1000

Other practice location 2

202 Los Altos Pkwy
Sparks, NV 89436-7708
Phone (775) 982-5000

Other practice location 3

740 Del Monte Ln Ste 3
Reno, NV 89511-7508
Phone (775) 982-5000

Other practice location 4

2300 S Carson St Ste 1
Carson City, NV 89701-4528
Phone (775) 982-5000

Other practice location 5

661 Sierra Rose Dr
Reno, NV 89511-2060
Phone (775) 982-8255

Other practice location 6

75 Pringle Way Ste 601
Reno, NV 89502-1472
Phone (775) 982-5000

Other practice location 7

10085 Double R Blvd Ste 220
Reno, NV 89521-3855
Phone (775) 982-5000

Other practice location 8

6570 S McCarran Blvd
Reno, NV 89509-6112
Phone (775) 982-8256

Other practice location 9

10085 Double R Blvd Ste 120
Reno, NV 89521-4867
Phone (775) 982-5000

Other practice location 10

4796 Caughlin Pkwy Ste 108
Reno, NV 89519-0910
Phone (775) 982-5000

Other practice location 11

1595 Robb Dr Ste 2
Reno, NV 89523-3527
Phone (775) 982-5000

Other practice location 12

13945 S Virginia St Ste 632
Reno, NV 89511-8930
Phone (775) 982-5000

Other practice location 13

1075 N Hills Blvd Ste 180
Reno, NV 89506-6799
Phone (775) 982-5000

Other practice location 14

910 Vista Blvd
Sparks, NV 89434-6501
Phone (775) 982-5000

Other practice location 15

25 McCabe Dr
Reno, NV 89511-5991
Phone (775) 982-5000

Other identifiers 1

IdentifierTypeStateIssuer
CB6606OtherNVRR MEDICARE PTAN

Other names 2

  • Renown Health Medical Group Doing business as
  • Renown Primary Care Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040105000431 NV Part B Supplier - Clinic/Group Practice 0244139798 Receives reassigned benefits from 195 practitioners
3 other NPIs on this enrollment
Practice locations: Sparks, NV; Reno, NV; Carson City, NV
O20130604000507 NV Part B Supplier - Mass Immunization (Roster Biller Only) 0244139798 Practice locations: Reno, NV

Other NPIs on the same Medicare enrollment 3

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D2197952Renown Primary Care-Los Altos1525 N Los Altos Pkwy, Sparks, NV 89436Certificate of waiverOct 27, 2026

National Provider Directory

National Provider Directory

Locations (25 of 27)

1525 N Lox Altos
Los Angeles, CA 90084

2815 N Carson St
Carson City, NV 89706

407 W Robinson St
Carson City, NV 89703
Phone (775) 720-2563

10085 Double R Blvd
Ste 12
Reno, NV 89521

10085 Double R Blvd
Ste 202
Reno, NV 89521

10085 Double R Blvd
Ste 235
Reno, NV 89521

1055 S Wells Ave
Reno, NV 89502
Phone (775) 829-6300

1075 N Hills Blvd
Ste 108
Reno, NV 89506

1076 N HLS Blvd Ste 180
Reno, NV 89506

1155 Mill St
Ste 24
Reno, NV 89502

13945 S Virginia St
Reno, NV 89511

1500 E 2nd St
Ste 401
Reno, NV 89502
Phone (775) 333-8000

1595 Robb Dr
Reno, NV 89523

197 Damonte Ranch Pkwy
Reno, NV 89521

198 A Damonte RNCH Pkwy
Reno, NV 89521

2005 Sierra Highlands Dr
Reno, NV 89523
Phone (775) 746-8686

4796 Caughlin Pkwy
Reno, NV 89519

4796 Caughlin Pkwy
Ste 180
Reno, NV 89519

6570 S McCarran Blvd
Ste 120
Reno, NV 89509

6580 S McCarran Blvd
Reno, NV 89509
Phone (775) 828-5100

75 Pringle Way
Ste 512
Reno, NV 89502
Phone (775) 329-1199

855 W 7th St
Reno, NV 89503
Phone (775) 720-5483

901 E 2nd St
Ste 307
Reno, NV 89502
Phone (775) 982-3900

1525 Los Altos Pkwy
Sparks, NV 89436
Phone (615) 240-3850

1950 Baring Blvd
Sparks, NV 89434
Phone (385) 454-5027

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Silver Springs Rural Health CentersSilver Springs, NV, CCN 293962 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Mar 1, 2014

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 206

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717718400000",
    "number": "1861445892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1155 MILL ST # M14",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895021576",
            "telephone_number": "775-982-5262",
            "fax_number": "775-982-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1525 LOS ALTOS PKWY",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366692",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 E Stadium Way",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895576692",
            "country_code": "US",
            "telephone_number": "775-982-1000",
            "fax_number": "775-982-8045",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "202 Los Altos Pkwy",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894367708",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "740 Del Monte Ln Ste 3",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895117508",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 S Carson St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897014528",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "661 Sierra Rose Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895112060",
            "country_code": "US",
            "telephone_number": "775-982-8255",
            "fax_number": "775-982-8251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "75 Pringle Way Ste 601",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895021472",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10085 Double R Blvd Ste 220",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895213855",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6570 S McCarran Blvd",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895096112",
            "country_code": "US",
            "telephone_number": "775-982-8256",
            "fax_number": "775-982-8251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10085 Double R Blvd Ste 120",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895214867",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4796 Caughlin Pkwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895190910",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 Robb Dr Ste 2",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895233527",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13945 S Virginia St Ste 632",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895118930",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1075 N Hills Blvd Ste 180",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895066799",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "910 Vista Blvd",
            "address_purpose": "LOCATION",
            "city": "Sparks",
            "state": "NV",
            "postal_code": "894346501",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "25 McCabe Dr",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895115991",
            "country_code": "US",
            "telephone_number": "775-982-5000",
            "fax_number": "775-982-3900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "HOMETOWN HEALTH MANAGEMENT COMPANY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2024-06-07",
        "certification_date": "2024-06-07",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "CFO ACUTE CARE",
        "authorized_official_telephone_number": "775-982-6343",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PTAN",
            "identifier": "CB6606",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Renown Health Medical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Renown Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sparks, NV

Sources for this page

Verify at the official NPI Registry.