Active NPI
Our Home Adult Living
- Assisted Living Facility
- Reno, NV
National Provider Identifier
1003375437
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9005055577 | Medicaid | NV |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jsapico@hotmail.com | Direct |
National Provider Directory
National Provider DirectoryNPI 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.