Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of Nv Aging & Disability Sevices Division- Fe Waiver

Organization PACE Provider Organization · NPI 1093289928

State of Nv Aging & Disability Sevices Division- Fe Waiver is a PACE Provider Organization in Carson City, Nevada. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

3416 Goni Rd Bldg D
Carson City, NV 89706-8008
Phone: (775) 687-2487
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

PACE Provider Organization (primary) Taxonomy 251T00000X

Record details

NPI number1093289928
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Anil Manocha — Administrative Services Officer · (775) 687-2487
NPI enumeratedJanuary 14, 2019
Last updated in NPPESDecember 30, 2019
Certification dateDecember 30, 2019
Mailing address3416 Goni Rd Bldg D, Carson City, NV 89706-8008