My Home Ice

LBN: My Home Ice
My Home Ice is an health care organization with primary practice located at 10880 Deodar Way , Reno NV 89506-9064. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, which is considered as the primary health care specialty. My Home Ice can be contacted via phone (775) 786-4168, or through Webb, Elizabeth Robin via phone (702) 595-2868.

Contact Information

Primary practice address
10880 Deodar Way Reno NV 89506-9064
Phone: (775) 786-4168
Fax: (775) 786-5622
Website:
Map and Directions
Authorized official contact:
Name: Webb, Elizabeth Robin
Phone: (702) 595-2868

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness 320800000X Nevada

Profile Details

NPI number 1154614105
LBN Legal business name My Home Ice
DBA Doing business as
Authorized official Webb, Elizabeth Robin
Entity Organization
Organization subpart 1 No
Enumeration date May 24th, 2011
Last updated May 24th, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154614105 NPPES
Nevada MEDICAID 9005042666

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