Organization Active NPI

TSL Skyline Estates, LLC

  • Assisted Living Facility
  • Carson City, NV
National Provider Identifier
1023589959
Registry record updated Dec 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
TSL SKYLINE ESTATES, LLC
Practice address
2861 Mountain St
Carson City, NV 89703-1539
Phone
(775) 885-9223
NPI assigned
Dec 17, 2018
Last updated
Dec 17, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2018

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

Authorized official

Name
Mr. Peary Don WoodNPI 1881160182
Title
Owner
Phone
(503) 719-5614

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

2861 Mountain St
Carson City, NV 89703-1539

Mailing address

9500 SW Barbur Blvd Ste 110
Portland, OR 97219-5425
Phone (775) 885-9223

Other practice location 1

2765 Mountain St
Carson City, NV 89703-1520
Phone (775) 885-9223

Other practice location 2

2765 Mountain St
Carson City, NV 89703-1520
Phone (775) 885-9223

National Provider Directory

National Provider Directory
Tax ID family
Skyline Estates2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2765 Mountain St
Carson City, NV 89703
Phone (775) 885-9223

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1545004800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545004800000",
    "number": "1023589959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9500 SW BARBUR BLVD STE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972195425",
            "telephone_number": "775-885-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2861 MOUNTAIN ST",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897031539",
            "telephone_number": "775-885-9223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2765 Mountain St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897031520",
            "country_code": "US",
            "telephone_number": "775-885-9223",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2765 Mountain St",
            "address_purpose": "LOCATION",
            "city": "Carson City",
            "state": "NV",
            "postal_code": "897031520",
            "country_code": "US",
            "telephone_number": "775-885-9223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TSL SKYLINE ESTATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-17",
        "last_updated": "2018-12-17",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "PEARY",
        "authorized_official_middle_name": "DON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-719-5614",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2018; 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.