Eagle Valley Care Centre

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

07-00018613 Issued in NV

Legal business name

EAGLE VALLEY CARE CENTRE

Practice address

1807 E Long St
Carson City, NV 89706-3214

Phone

(775) 883-4449

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Afrodesia LopozNPI 1912565557

Title

Owner

Phone

(925) 250-8923

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Afrodesia C Lopoz

  • Assisted Living Facility
  • Carson City, NV
  • NPI 1912565557
  NPD (past) Authorized official

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1003941303",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1149 FAIR WEATHER CIR",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945181939",
            "telephone_number": "925-250-8923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 E LONG ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897063214",
            "telephone_number": "775-883-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VALLEY CARE CENTRE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LOPOZ",
        "authorized_official_first_name": "AFRODESIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "925-250-8923"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "07-00018613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justine Fong Dupanovic, DDS
• Alexandra Dwyer
• James Dyer, CADC-I
• Jeromy Dyer
• Justine Nichole Dyer, PRSS-5211
• Eagle Valley Care Centre, LLC
• Denise Earp
• John S. Edgcomb, MD
• Dimitry James Ediss, DC
• John James Ediss, DC

• Assisted Living Facility in Carson City, NV
• Providers in Carson City, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.