Eagle Valley Care Centre, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

EAGLE VALLEY CARE CENTRE, LLC

Practice address

1807 E Long St
Carson City, NV 89706-3214

Phone

(925) 483-1096

Fax

(925) 955-9000

NPI assigned

Oct 4, 2023

Organization subpart

No

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

Authorized official

Name

Ms. Afrodesia Cubeta Lopoz, ADMINISTRATORNPI 1912565557

Title

Manager

Phone

(925) 483-1096

Specialties & licenses 1

Addresses

Locations

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": "1696377600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1093595142",
    "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": "925-483-1096",
            "fax_number": "925-955-9000"
        },
        {
            "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": "925-483-1096",
            "fax_number": "925-955-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE VALLEY CARE CENTRE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-04",
        "last_updated": "2023-10-04",
        "certification_date": "2023-10-04",
        "status": "A",
        "authorized_official_last_name": "LOPOZ",
        "authorized_official_first_name": "AFRODESIA",
        "authorized_official_middle_name": "CUBETA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "925-483-1096",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• 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 Oct 4, 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.