Evangeline Beltejar-Difuntorum

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Practice address

4900 Koenig Rd
Reno, NV 89506-7811

Phone

(775) 324-0691

Fax

(775) 324-1220

NPI assigned

Mar 3, 2016

Last updated

Mar 30, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Saint Paul Home Care II

  • Assisted Living Facility
  • Reno, NV
  • NPI 1710672183
  NPD Authorized official
• Grandmother's Crib

  • Adult Day Care Clinic/Center
  • Reno, NV
  • NPI 1841654100
  NPD (past) Authorized official

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

{
    "created_epoch": "1456963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680134400000",
    "number": "1053771907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 KOENIG RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067811",
            "telephone_number": "775-324-0691",
            "fax_number": "775-324-1220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4900 KOENIG RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067811",
            "telephone_number": "775-324-0691",
            "fax_number": "775-324-1220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELTEJAR-DIFUNTORUM",
        "first_name": "EVANGELINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-03",
        "last_updated": "2023-03-30",
        "certification_date": "2023-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ona Beller
• Morgan Belli
• Michael Bellucci
• Stephanie Ann Bellusa, PSY.D.
• Charina Beloria
• Jeris Ern Beltejar
• Elizabeth Patricia Belton, APRN
• Karla Beltran Adono, RN
• Alejandra Beltran, 224Z0000X
• Angelica B Beltran

• Assisted Living Facility in Reno, NV
• Providers in Reno, 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 Mar 30, 2023; 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.