NPI 1881355857 · live from the CMS NPI Registry
Revive Sparks LLC
Skilled Nursing Facility in Sparks, NV. National Provider Identifier 1881355857, active.
NPI record
| NPI | 1881355857 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 2350 Wingfield Hills Rd, Sparks, NV 89436 |
| Practice phone | 775-335-8275 |
| Mailing address | 9410 Prototype Dr Ste 7, Reno, NV 89521 |
| Enumerated | January 3, 2022 |
| Last updated | December 28, 2022 |
| Authorized official | Zachary Gray, Manager |
| Other names | Wingfield Skilled Nursing And Rehabilitation Center |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.