NPIMap

Organization Active NPI

Sierra Intelligence Group, LLC

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1174005987
Registry record updated Aug 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SIERRA INTELLIGENCE GROUP, LLC
Practice address
4190 Bismarck Dr
Reno, NV 89502-6306
Phone
(775) 688-9670
Fax
(775) 737-9502
NPI assigned
Aug 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2018

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

Authorized official

Name
Scott Michael Reddy, RFA
Title
Administrator
Phone
(775) 688-9670

Specialties & licenses 1

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

Addresses

Primary practice location

4190 Bismarck Dr
Reno, NV 89502-6306

Mailing address

14765 Chateau Ave
Reno, NV 89511-4519
Phone (775) 688-9670

Other names 1

  • Washoe Senior Living I Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sierra Intelligence Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1535500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1535500800000",
    "number": "1174005987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14765 CHATEAU AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114519",
            "telephone_number": "775-688-9670",
            "fax_number": "775-376-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4190 BISMARCK DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895026306",
            "telephone_number": "775-688-9670",
            "fax_number": "775-737-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA INTELLIGENCE GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-29",
        "last_updated": "2018-08-29",
        "status": "A",
        "authorized_official_last_name": "REDDY",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-688-9670",
        "authorized_official_credential": "RFA"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Washoe Senior Living I",
            "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 Aug 29, 2018; 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.