Nevada Children's Foundation, Inc.

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

NEVADA CHILDREN'S FOUNDATION, INC.

Doing business as

dba Eagle Valley Children's Home

Practice address

2300 Eagle Valley Ranch Rd
Carson City, NV 89703-9513

Phone

(775) 882-1188

Fax

(775) 882-3777

NPI assigned

Jul 18, 2006

Last updated

May 16, 2024By 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

Mrs. Donna L Clarke

Title

Executive Director

Phone

(775) 882-1188

Specialties & licenses 1

Addresses

Other names 1

• dba Eagle Valley Children's Home Doing business as

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 1922026566. Details of each certification follow.

• CCN 29G002 Intermediate care facility for individuals with intellectual disabilities · Active · Name & address match · Details

Intermediate care facility for individuals with intellectual disabilities certification: CCN 29G002

Legal name

EAGLE VALLEY CHILDREN'S HOME

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Nov 1, 1977

Last certification

Apr 3, 2025

Beds

18

Ownership / control type

Private (non-profit)

Facility address

2300 Eagle Valley Ranch
Carson City, NV 89703

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

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1922026566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 EAGLE VALLEY RANCH RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897039513",
            "telephone_number": "775-882-1188",
            "fax_number": "775-882-3777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 EAGLE VALLEY RANCH RD",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897039513",
            "telephone_number": "775-882-1188",
            "fax_number": "775-882-3777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEVADA CHILDREN'S FOUNDATION, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "CLARKE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "775-882-1188",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Eagle Valley Children's Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kaylee Ann Nelson, PA
• Marc Andrew Nelson, D.M.D.
• Jacquelyn Nemedez, PT DPT
• April Lee Nesmith, MA PC
• Serwind Osgood Bancks Netzler
• Nevada CVS Pharmacy LLC (CVS Pharmacy#08779)
• Nevada Dental Specialists, LLC (Nevada Dental Specialists--Ortho.)
• Nevada Department of Corrections
• Nevada Health Centers Inc (Sierra Nevada Health Center)
• Nevada Health Centers Inc. (Nevada Health Centers Carson City School Based)

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Carson City, NV
• Providers in Carson City, NV by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.