Tannerwood Home LLC

Primary specialty

Respite CareTaxonomy code 385H00000X

Legal business name

TANNERWOOD HOME LLC

Practice address

5505 Tannerwood Dr
Reno, NV 89511-5021

Phone

(775) 771-2117

NPI assigned

Feb 26, 2016

Organization subpart

No

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

Authorized official

Name

Harry Fahnestock

Title

Manager

Phone

(775) 771-2117

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1456444800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456444800000",
    "number": "1104286517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 TANNERWOOD DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115021",
            "telephone_number": "775-771-2117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 TANNERWOOD DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115021",
            "telephone_number": "775-771-2117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANNERWOOD HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-26",
        "last_updated": "2016-02-26",
        "status": "A",
        "authorized_official_last_name": "FAHNESTOCK",
        "authorized_official_first_name": "HARRY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "775-771-2117"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9005054802",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomas Quoc Tang, PHARM.D
• Morgan Arnuparp Tangcharoentanakit, PHARMD
• Catherin Tanner, RN, APRN
• Kaylee Tanner
• Patrick G. Tanner, LMFT, LADC
• Alfred Tanyi
• Conrad Kumbella Tanyi
• Keva Tonge Tanyi
• Jonni Tanzy, DPT
• Shiela Pernez Tapay

• Respite Care in Reno, NV
• Providers in Reno, NV by specialty
• Respite Care in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2016; 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.