NPIMap

Organization Active NPI

State of Nevada - DV MH/DS Sierra Dev Center

  • Intellectual Disabilities Intermediate Care Facility
  • Sparks, NV
National Provider Identifier
1942385133
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X
License
708IMR-14 Issued in NV
Legal business name
STATE OF NEVADA - DV MH/DS SIERRA DEV CENTER
Practice address
605 S 21St St
Sparks, NV 89431-8100
Phone
(775) 688-1930
Fax
(775) 688-1950
NPI assigned
Oct 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Ms. Jane Gruner
Title
Acting Director
Phone
(775) 688-1930

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual Disabilities Intermediate Care Facility 315P00000X 708IMR-14 NV Primary

Addresses

Primary practice location

605 S 21St St
Sparks, NV 89431-8100

Mailing address

605 S 21St St
Sparks, NV 89431-8100
Phone (775) 688-1930

Other names 1

  • SIERRA REGIONAL CENTER Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Nevada State Health Division125 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 18

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 18

Locations

605 S 21st St
Sparks, NV 89431
Phone (775) 276-2953

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1942385133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S 21ST ST",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318100",
            "telephone_number": "775-688-1930",
            "fax_number": "775-688-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 21ST ST",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894318100",
            "telephone_number": "775-688-1930",
            "fax_number": "775-688-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF NEVADA - DV MH/DS SIERRA DEV CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "GRUNER",
        "authorized_official_first_name": "JANE",
        "authorized_official_title_or_position": "ACTING DIRECTOR",
        "authorized_official_telephone_number": "775-688-1930",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": "NV",
            "license": "708IMR-14",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SIERRA REGIONAL CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jun 19, 2008; 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.