LONGEVITY RESIDENTIAL CARE II (NPI# 1114562667) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114562667 |
| Entity Type | Organization |
| Organization Name | LONGEVITY RESIDENTIAL CARE II |
| Practice Address |
4073 Kings Row Reno NV 89503-6825 |
| Practice Telephone | 7756229982 |
| Practice Fax Number | 7756229630 |
| Mailing Telephone | 7756229982 |
| Mailing Fax Number | 7756229630 |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2019-11-07 |
| Authorized Official Name | MR. SAMMY VALERA (ADMINISTRATOR) |
| Authorized Official Telephone | 7758439421 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| Street Address |
4073 KINGS ROW |
| City | RENO |
| State | NV |
| Zip Code | 89503-6825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639654932 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 401 West 2nd Street, Reno, NV 89503 | 2018-10-02 |
| 1356825392 | Shelby Downs | Behavior Technician | 2730 W 7th St, Reno, NV 89503 | 2018-09-15 |
| 1659805570 | Lee Ann Malone | Counselor | 200 W 1st St, Ste 200, Reno, NV 89503 | 2017-04-18 |
| 1255786828 | Eric Allen Hare | Counselor | 1201 North Stewart Street, Sutie 120, Carson City, NV 89503 | 2016-05-02 |
| 1407226095 | Travis B Adams | Dentist | 855 W Seventh St, Ste 200, Reno, NV 89503 | 2015-09-25 |
| 1477933877 | Shawn Mahan | Counselor | 900 W. First Streeet, Reno, NV 89503 | 2015-06-02 |
| 1801144431 | Yesenia Hernandez | Community Health Worker | 900w 1st Street Ste.200, Reno, NV 89503 | 2012-08-29 |
| 1053667501 | Barbara Frey | Social Worker | 580 W 5th Street, Reno, NV 89503 | 2012-08-01 |
| 1548546146 | The Note-ables | Day Training, Developmentally Disabled Services | 925 Riverside Drive, Suite 6, Reno, NV 89503 | 2011-10-26 |
| 1194011270 | Joanne Krumpe | Psychologist | 507 W. 6th St, Reno, NV 89503 | 2011-06-27 |
| Find all providers in zip 89503 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147922 | Valley of Golden Ages Corp. | Custodial Care Facility | 2680 Margaret Dr, Reno, NV 89506-8651 | 2020-03-01 |
| 1225694730 | Rocking J & L Company | Custodial Care Facility | 2690 Trail Rider Dr, Reno, NV 89521-8008 | 2019-05-10 |
| 1922661834 | Golden Years Castle Property Holdings LLC | Custodial Care Facility | 5175 Sleepy Hollow Dr, Reno, NV 89502-9699 | 2019-04-16 |
| 1790246635 | La Familia Homes Dba Serenity Senior Care | Custodial Care Facility | 3645 Rio Poco Rd, Reno, NV 89502-5349 | 2019-03-25 |
| 1720545916 | Nelia Buendia | Custodial Care Facility | 5325 Vista Larga Cir, Reno, NV 89523-1815 | 2019-02-25 |
| 1336605104 | Better Samaritan Inc | Custodial Care Facility | 10515 Kenai Dr, Reno, NV 89521-8319 | 2019-02-15 |
| 1720556293 | Jhoanna Manalo | Custodial Care Facility | 1435 Akard Dr, Reno, NV 89503-3121 | 2018-11-02 |
| 1326513250 | Starlight Group Home, LLC | Custodial Care Facility | 2301 E 9th St, Reno, NV 89512-3201 | 2018-10-07 |
| 1174005987 | Sierra Intelligence Group, LLC | Custodial Care Facility | 4190 Bismarck Dr, Reno, NV 89502-6306 | 2018-08-29 |
| 1336629773 | Pleasant Care Group Home | Custodial Care Facility | 795 Sienna Station Way, Reno, NV 89512-1364 | 2018-08-15 |
| 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.