Revive Sparks LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

REVIVE SPARKS LLC

Doing business as

Wingfield Skilled Nursing and Rehabilitation Center

Practice address

2350 Wingfield Hills Rd
Sparks, NV 89436-7220

Phone

(775) 335-8275

NPI assigned

Jan 3, 2022

Last updated

Dec 28, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Zachary Gray

Title

Manager

Phone

(518) 852-3255

Specialties & licenses 1

Addresses

Other names 1

• WINGFIELD SKILLED NURSING AND REHABILITATION CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in NV

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1881355857. Details of each certification follow.

• CCN 295088 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 295088

Legal name

REVIVE SPARKS LLC

Doing business as

WINGFIELD SKILLED NURSING AND REHABILITATION CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 3, 2010

Last certification

Dec 5, 2024

Beds

120

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

2350 Wingfield Hills Rd
Sparks, NV 89436-7220

Nursing home name

WINGFIELD SKILLED NURSING AND REHABILITATION CENTE

Listed as

Wingfield Skilled Nursing and Rehabilitation CenteCCN 295088 · All quality measures

Overall star rating

2 of 5

Health inspections

2 of 5

Staffing

4 of 5

Quality measures

3 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

Mar 3, 2010

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

120116.1 residents per day on average

Penalties (3 years)

1Fines totaling $75,670

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

Locations

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.

Owners & managing parties with NPI records 1

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

• Irtqa Ilyas

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1396249124

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Facilities with the same owner 2

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Revive Health Senior Care LLC

  dba Alta Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Reno, NV
  • NPI 1700357308

  Revive Health Senior Care Management LLC

  CMS ownership
• Revive Reno LLC

  dba Alpine Skilled Nursing and Rehabilitation Center

  • Skilled Nursing Facility
  • Reno, NV
  • NPI 1346901311

  Gray Estate Holdings LLC

  CMS ownership

Practitioners 3

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.

• Olivia P. Baugh, MD

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1457478604
  NPD (past)
• Irtqa Ilyas

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1396249124
  NPD (past)
• Jayson Alan Weir, M.D.

  • Internal Medicine Physician
  • Carson City, NV
  • NPI 1518257138
  NPD (past)

Affiliated clinicians 2

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

• Irtqa Ilyas

  • Internal Medicine Physician
  • Reno, NV
  • NPI 1396249124

  Nursing home

  Care Compare affiliation
• Joseph Jay Teichgraeber, MD

  • Internal Medicine Physician
  • Sparks, NV
  • NPI 1023070091

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1672185600000",
    "number": "1881355857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 PROTOTYPE DR STE 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 WINGFIELD HILLS RD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894367220",
            "telephone_number": "775-335-8275"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE SPARKS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2022-12-28",
        "certification_date": "2022-12-28",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "518-852-3255"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "WINGFIELD SKILLED NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Reno Orthopaedic Clinic, LTD (Reno Orthopedic Center)
• Reno Pediatric Partners LLC (Boca Kids Dentistry)
• Renown Regional Medical Center
• Renown Skilled Nursing
• Michael Rathna Reth, PHARM.D.
• Rosa Maria Reyes
• Sofia Reyna
• Deann Reynolds, PA-C
• Jennifer Reynolds
• Karen Reynolds

• Skilled Nursing Facility in Sparks, NV
• Providers in Sparks, NV by specialty
• Skilled Nursing Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.