Organization Active NPI

State of Nevada - DV MH DS Sierra Dev Center

Doing business as Sierra Regional Center

  • Case Manager/Care Coordinator
  • Sparks, NV
National Provider Identifier
1962573931
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
STATE OF NEVADA - DV MH DS SIERRA DEV CENTER
Doing business as
Sierra Regional Center
Practice address
605 S 21St St
Sparks, NV 89431-8100
Phone
(775) 688-1930
Fax
(775) 688-1950
NPI assigned
Nov 13, 2006
Last updated
Jun 19, 2008By the provider in NPPES
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
Case Manager/Care Coordinator 171M00000X 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 16

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

View all 16

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": "1163376000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1962573931",
    "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": "2006-11-13",
        "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": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NV",
            "license": null,
            "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.