KING GROUP HOME (NPI# 1194861013) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194861013 |
| Entity Type | Organization |
| Organization Name | KING GROUP HOME |
| Practice Address |
7894 Treasure Cove Ct Reno NV 89506-2186 |
| Mailing Address |
7894 Treasure Cove Ct. Reno NV 89506 |
| Practice Telephone | 7756771114 |
| Practice Fax Number | 7756771116 |
| Mailing Telephone | 7756771114 |
| Mailing Fax Number | 7756771116 |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2008-11-14 |
| Authorized Official Name | BRENTON CHARLES KING (OWNER) |
| Authorized Official Telephone | 7756771114 |
| Authorized Official Credential | BS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | GF-465264 | NV | Residential Treatment Facilities |
| Street Address |
7894 TREASURE COVE CT |
| City | RENO |
| State | NV |
| Zip Code | 89506-2186 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902394547 | Megan Harris | Contractor | 7935 Key Largo Drive, Reno, NV 89506 | 2018-04-30 |
| 1528573227 | Jennifer Ann Woolf | Nurse Practitioner | 8165 Fire Opal Lane, Reno, NV 89506 | 2017-12-05 |
| 1912422957 | Trucare Health Services, LLC | Nurse Practitioner | 9930 Rising Sun Ct, Reno, NV 89506 | 2017-08-10 |
| 1326499856 | Kenia Barba | Social Worker | 745 W. Moana Ln, Reno, NV 89506 | 2016-06-27 |
| 1881070639 | Stephanie King | Speech-Language Pathologist | 14355 Murdoch Dr, Reno, NV 89506 | 2015-08-04 |
| 1396156378 | Raymond Bernard Smith Jr. | Behavior Technician | 200 Limber Pine Dr #15, Reno, NV 89506 | 2014-05-13 |
| 1770824344 | Margie Vancil | Counselor | 1660 Jewel Ridge Ct, Reno, NV 89506 | 2013-03-07 |
| 1275880502 | Erin Lee Coleman | Rehabilitation Practitioner | 13225 Mt Whitney St, Reno, NV 89506 | 2012-08-06 |
| 1336422567 | Maria Theresa Tech | Pharmacist | 305 Lemmons Drive, Reno, NV 89506 | 2011-09-23 |
| 1659662633 | Ryan Patrick Toomey | Counselor | 4056 Anthony James Ct, Reno, NV 89506 | 2011-04-26 |
| Find all providers in zip 89506 | ||||
| Taxonomy Code | 320900000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities |
| A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780142505 | Golden Years Castle Property Holdings LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2060 Arcane Ave, Reno, NV 89503-1405 | 2019-03-11 |
| 1285002980 | Jaylaray Caregiving Place LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1285 Crown Dr, Reno, NV 89503-2205 | 2015-09-11 |
| 1134525587 | Unlimited Possibilities Or Reno, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1 E Liberty St, Suite 3, Reno, NV 89501-2110 | 2014-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508484734 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1405 South Mojave Rd, Las Vegas, NV 89104 | 2020-07-14 |
| 1285252742 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3209 Cedar St, Las Vegas, NV 89104-4472 | 2020-07-10 |
| 1649898107 | Accessible Space Inc. | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4935 N Miller Ln, Las Vegas, NV 89149-5201 | 2020-07-10 |
| 1336763903 | 360 Medhp LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2110 E Flamingo Rd Ste 360, Las Vegas, NV 89119-5190 | 2020-05-29 |
| 1366084972 | Global Resources and Supports | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2879 Saint Rose Pkwy Ste 130, Henderson, NV 89052-4808 | 2019-10-15 |
| 1447766670 | Kaes Cube of Life LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 3909 S Maryland Pkwy Ste 305, Las Vegas, NV 89119-7520 | 2017-12-26 |
| 1639683469 | Ccf Health & Behavioral LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5109 Ackaburg Ct, Las Vegas, NV 89130-2148 | 2017-12-01 |
| 1023566023 | Ray Travis Goodin | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 2625 Wyandotte St, # 17, Las Vegas, NV 89102-6471 | 2016-09-19 |
| 1407201924 | Breath of Life | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4944 Diana Ct, Sparks, NV 89436-8634 | 2016-05-03 |
| 1689075780 | Helping Crusaders | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5388 Flowing Spring St, Las Vegas, NV 89122-7677 | 2014-09-08 |
| Find all providers with the same taxonomy | ||||
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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.