Provider Demographics
NPI:1922026566
Name:NEVADA CHILDREN'S FOUNDATION, INC.
Entity Type:Organization
Organization Name:NEVADA CHILDREN'S FOUNDATION, INC.
Other - Org Name:EAGLE VALLEY CHILDREN'S HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:G
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:775-882-1188
Mailing Address - Street 1:2300 EAGLE VALLEY RANCH RD
Mailing Address - Street 2:
Mailing Address - City:CARSON CITY
Mailing Address - State:NV
Mailing Address - Zip Code:89703-9513
Mailing Address - Country:US
Mailing Address - Phone:775-882-1188
Mailing Address - Fax:775-882-3777
Practice Address - Street 1:2300 EAGLE VALLEY RANCH RD
Practice Address - Street 2:
Practice Address - City:CARSON CITY
Practice Address - State:NV
Practice Address - Zip Code:89703-9513
Practice Address - Country:US
Practice Address - Phone:775-882-1188
Practice Address - Fax:775-882-3777
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities