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TRUCKEE MEADOWS MENTAL HEALTH
NPI 1740540947
Community Based Residential Treatment Facility, Mental Illness in Reno, NV

Active since May 22, 2012
4051 KINGS ROW, RENO, NV 89503(775) 997-5365(775) 622-4798 Get Directions Write a Review

NPPES record last updated: October 10, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Truckee Meadows Mental Health NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TRUCKEE MEADOWS MENTAL HEALTH (NPI 1740540947), doing business as Alpha & Omega Residential, Llc, is a healthcare organization registered as a community based residential treatment facility, mental illness in Reno, Nevada and active in the NPI registry since May 2012. The organization lists Derrick C Johnson, Ceo, as its authorized official.

NPPES Registry Identity

NPI1740540947
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameTRUCKEE MEADOWS MENTAL HEALTH
Location Address4051 KINGS ROWReno, NV 89503-6825
Mailing Address9695 Silver Desert WayReno, NV 89506-7598 · (775) 997-5365 · Fax (775) 622-4798
Phone(775) 997-5365
Fax(775) 622-4798
Organization SubpartNo
Authorized OfficialDerrick C JohnsonCeo · (775) 857-9599
Enumeration DateMay 22, 2012
Last NPPES UpdateOctober 10, 2017
✔ NPI 1740540947 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in NV · E0146102012-5
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
4051 KINGS ROW, Reno, NV 89503
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Other Names 1

Former Legal Business NameAlpha & Omega Residential, Llc

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. KACHIMBE D MUKANZU
Counselor
4051 KINGS ROW
RENO, NV 89503
Washoe County (775) 622-4798
JAMES SCOTT
Counselor (Mental Health)
4051 KINGS ROW
RENO, NV 89503
Washoe County (775) 622-4798
GEORGE JASSON MWANJABALA C.N.A (Q.B.A)
Counselor (Mental Health)
4051 KINGS ROW, 4051 KINGS ROW
RENO, NV 89503
Washoe County (775) 622-4798

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Truckee Meadows Mental Health's NPI number?

The NPI number for Truckee Meadows Mental Health is 1740540947. It was assigned to this organization in the NPPES registry on May 22, 2012. The provider was formerly known as Alpha & Omega Residential, LLC.

Where is Truckee Meadows Mental Health located?

Truckee Meadows Mental Health is located at 4051 Kings Row, Reno, NV 89503. The listed phone number is (775) 997-5365.

What is Truckee Meadows Mental Health's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Truckee Meadows Mental Health was last updated on October 10, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.