Longevity Residential Care II

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

LONGEVITY RESIDENTIAL CARE II

Practice address

4073 Kings Row
Reno, NV 89503-6825

Phone

(775) 622-9982

Fax

(775) 622-9630

NPI assigned

Nov 7, 2019

Last updated

Nov 7, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Sammy Valera

Title

Administrator

Phone

(775) 843-9421

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1114562667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4073 KINGS ROW",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895036825",
            "telephone_number": "775-622-9982",
            "fax_number": "775-622-9630"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4073 KINGS ROW",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895036825",
            "telephone_number": "775-622-9982",
            "fax_number": "775-622-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LONGEVITY RESIDENTIAL CARE II",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "VALERA",
        "authorized_official_first_name": "SAMMY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-843-9421",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Reno, NV
• Providers in Reno, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.