Organization Active NPI

Valley of Golden Ages Corp.

Doing business as Valley of Golden Ages

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1073147922
Registry record updated Mar 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VALLEY OF GOLDEN AGES CORP.
Doing business as
Valley of Golden Ages
Practice address
2680 Margaret Dr
Reno, NV 89506-8651
Phone
(775) 762-2162
Fax
(775) 800-1742
NPI assigned
Mar 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2020

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

Authorized official

Name
Mr. Ernesto Domingo Beltejar Jr., ADMINISTRATOR
Title
Owner
Phone
(775) 762-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

2680 Margaret Dr
Reno, NV 89506-8651

Mailing address

580 Beckfield CT
Reno, NV 89521-6248
Phone (775) 762-2162

Other names 1

  • VALLEY OF GOLDEN AGES Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunlife Care2 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.

NPI Registry JSON

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

{
    "created_epoch": "1583020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583020800000",
    "number": "1073147922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BECKFIELD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216248",
            "telephone_number": "775-762-2162",
            "fax_number": "775-800-1742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 MARGARET DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895068651",
            "telephone_number": "775-762-2162",
            "fax_number": "775-800-1742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF GOLDEN AGES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-01",
        "last_updated": "2020-03-01",
        "certification_date": "2020-03-01",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-762-2162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VALLEY OF GOLDEN AGES",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 1, 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.