Provider Demographics
NPI:1184190472
Name:NVOHC LLC
Entity Type:Organization
Organization Name:NVOHC LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:CORBIERE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-887-5030
Mailing Address - Street 1:PO BOX 21226
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89721-1226
Mailing Address - Country:US
Mailing Address - Phone:775-887-5030
Mailing Address - Fax:775-887-5040
Practice Address - Street 1:3488 GONI RD STE 141
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89706-7970
Practice Address - Country:US
Practice Address - Phone:775-887-5030
Practice Address - Fax:775-887-5040
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NVOHC LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-10-15
Last Update Date:2018-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV1760961023Medicaid
NV1326383449Medicaid