St. Paul Homecare 1

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

2010AGC-15 Issued in NV

Legal business name

ST. PAUL HOMECARE 1

Practice address

1500 Manhattan St
Reno, NV 89512

Phone

(775) 337-6900

Fax

(775) 337-6900

NPI assigned

Oct 14, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Evelyn Domingo Beltejar

Title

Owner

Phone

(775) 337-6900

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1287014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287014400000",
    "number": "1104136993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 MANHATTAN ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89512",
            "telephone_number": "775-337-6900",
            "fax_number": "775-337-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 MANHATTAN ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89512",
            "telephone_number": "775-337-6900",
            "fax_number": "775-337-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL HOMECARE 1",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-14",
        "last_updated": "2010-10-14",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-337-6900",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "2010AGC-15",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• 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 Oct 14, 2010; 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.