TANNERWOOD HOME LLC (NPI# 1104286517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104286517 |
| Entity Type | Organization |
| Organization Name | TANNERWOOD HOME LLC |
| Practice Address |
5505 Tannerwood Dr Reno NV 89511-5021 |
| Practice Telephone | 7757712117 |
| Mailing Telephone | 7757712117 |
| Enumeration Date | 2016-02-26 |
| Last Update Date | 2016-02-26 |
| Authorized Official Name | HARRY FAHNESTOCK (MANAGER) |
| Authorized Official Telephone | 7757712117 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 9005054802 | 05 |
| Street Address |
5505 TANNERWOOD DR |
| City | RENO |
| State | NV |
| Zip Code | 89511-5021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407474695 | Katherine Lynn Mauldin | Physician Assistant | Redfield Campus Nell J. Redfield Bldg. A Suite 104, 18600 Wedge Parkway, Reno, NV 89511 | 2020-07-14 |
| 1902428915 | Roxann Jeanette Richardson | Student in an Organized Health Care Education/Training Program | Unr Redfield Campus Nell J. Redfield Bldg. A, Suite 104 18600 Wedge Parkway, Reno, NV 89511 | 2020-05-13 |
| 1487286654 | Noelle Marie Davis-marinaccio | Nurse Practitioner | 5570 Longley Lane, Reno, NV 89511 | 2020-02-06 |
| 1265092662 | Elysia Jones | Student in an Organized Health Care Education/Training Program | 18600 Wedge Parkway, Nell J. Redfield Building A, Suite 104, Reno, NV 89511 | 2019-06-18 |
| 1023583622 | Vera Whole Health, Wa PC | Clinic/Center | 699 Sierra Rose Drive, Reno, NV 89511 | 2018-10-10 |
| 1841786027 | Christina Willett | Speech-Language Pathologist | 14680 S. Quiet Meadow Drive, Reno, NV 89511 | 2018-07-10 |
| 1235630864 | High Sierra Psychiatry, LLC | Clinic/Center | Reno Behavioral Healthcare Hospital, 6940 Sierra Center Parkway, Reno, NV 89511 | 2018-02-28 |
| 1154839637 | Jacob Blake, Md Ltd. | Anesthesiology | 5590 Kietzke Lane, Reno, NV 89511 | 2018-01-18 |
| 1548776024 | Jennifer L. Shane O.d., Ltd | Optometrist | 5385 Reno Corporate Drive #100, Reno, NV 89511 | 2017-12-20 |
| 1619488525 | Reno Behavioral Healthcare Hospital, LLC | Psychiatric Hospital | 6940 Sierra Center Parkway, Reno, NV 89511 | 2017-10-18 |
| Find all providers in zip 89511 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339986 | Carmel Community Living Corporation | Respite Care | 200 S Virginia St Ste 800, Reno, NV 89501-2409 | 2019-04-23 |
| 1831651728 | Carmel Community Living Corporation | Respite Care | 11 N Sierra St Ste 104, Reno, NV 89501-1336 | 2019-04-01 |
| 1447719034 | P6 Family Services LLC | Respite Care | 664 Beckwourth Dr, Reno, NV 89506-5766 | 2019-03-13 |
| 1184127235 | Gil Folk | Respite Care | 70 Ocelet Way, Reno, NV 89511-4751 | 2018-03-15 |
| 1760928469 | Sierra Nevada Quality Care | Respite Care | 7820 Opal Bluff Dr, Reno, NV 89506-4716 | 2017-01-18 |
| 1790131274 | Anita Deleon | Respite Care | 2680 Starks Way, Reno, NV 89512-1428 | 2016-05-13 |
| 1982050407 | Carolyn Wikander | Respite Care | 770 Caughlin Gln, Reno, NV 89519-0644 | 2016-05-13 |
| 1962858878 | Heaven Bound Lifestyle Center | Respite Care | 7551 Young Cir, Reno, NV 89511-1337 | 2016-05-10 |
| 1821451675 | Eagles Nest Group Home | Respite Care | 4310 Toro Ct, Reno, NV 89502-6426 | 2016-03-30 |
| 1629431408 | Lisa Campanaro | Respite Care | 480 Casey Ct, Reno, NV 89506-9480 | 2016-03-30 |
| Find all providers in RENO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.