Organization Active NPI

Our Home Adult Living

  • Assisted Living Facility
  • Reno, NV
National Provider Identifier
1003375437
Registry record updated Mar 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
OUR HOME ADULT LIVING
Practice address
4180 Sierra Madre Dr
Reno, NV 89502-6328
Phone
(775) 827-1619
Fax
(775) 827-8512
NPI assigned
Mar 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Jonathan Alix Sapico, OWNER
Title
Director
Phone
(775) 843-7413

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4180 Sierra Madre Dr
Reno, NV 89502-6328

Mailing address

4180 Sierra Madre Dr
Reno, NV 89502-6328
Phone (775) 827-1619

Other identifiers 1

IdentifierTypeStateIssuer
9005055577MedicaidNV

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsapico@hotmail.com Direct

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1552608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552608000000",
    "number": "1003375437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4180 SIERRA MADRE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026328",
            "telephone_number": "775-827-1619",
            "fax_number": "775-827-8512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4180 SIERRA MADRE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026328",
            "telephone_number": "775-827-1619",
            "fax_number": "775-827-8512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUR HOME ADULT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-15",
        "last_updated": "2019-03-15",
        "status": "A",
        "authorized_official_last_name": "SAPICO",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_middle_name": "ALIX",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "775-843-7413",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005055577",
            "state": "NV"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsapico@hotmail.com",
            "affiliation": "N",
            "endpointDescription": "direct",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "4180 Sierra Madre Dr",
            "city": "Reno",
            "state": "NV",
            "country_code": "US",
            "postal_code": "895026328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.