Provider Demographics
NPI:1881069755
Name:NORTHERN NEVADA CARE, INC.
Entity type:Organization
Organization Name:NORTHERN NEVADA CARE, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:NEFF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-461-3696
Mailing Address - Street 1:123 W NYE LN
Mailing Address - Street 2:SUITE 134
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89706-0899
Mailing Address - Country:US
Mailing Address - Phone:775-461-3696
Mailing Address - Fax:775-461-3698
Practice Address - Street 1:123 W NYE LN
Practice Address - Street 2:SUITE 134
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-0899
Practice Address - Country:US
Practice Address - Phone:775-461-3696
Practice Address - Fax:775-461-3698
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-03
Last Update Date:2015-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV8469PCS-0251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health