Provider Demographics
NPI:1730472333
Name:ST. THERESE HEALTHCARE, INC.
Entity Type:Organization
Organization Name:ST. THERESE HEALTHCARE, INC.
Other - Org Name:ALLIANCE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR / CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MONETTE
Authorized Official - Middle Name:OLIVA
Authorized Official - Last Name:WILDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-355-8800
Mailing Address - Street 1:3680 GRANT DR STE B
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-5369
Mailing Address - Country:US
Mailing Address - Phone:775-355-8800
Mailing Address - Fax:775-355-8802
Practice Address - Street 1:3680 GRANT DR STE B
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5369
Practice Address - Country:US
Practice Address - Phone:775-355-8800
Practice Address - Fax:775-355-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-16
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV297201OtherPTAN/NSC
NV297201OtherPTAN/NSC