Lolas Legacy LLC

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

LOLAS LEGACY LLC

Practice address

8115 Mohawk LN
Reno, NV 89506-9126

Phone

(775) 677-8115

NPI assigned

Sep 22, 2021

Organization subpart

No

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

Authorized official

Name

Marcus Raudszus

Title

Facility Manager

Phone

(248) 521-7810

Specialties & licenses 1

Addresses

Other names 1

• Horizon Hills Residential Group Care 1 Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Warlito C. Pizarro, RFA

  • Assisted Living Facility
  • Reno, NV
  • NPI 1548724727
  NPD

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

{
    "created_epoch": "1632268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1632268800000",
    "number": "1245901032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8115 MOHAWK LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895069126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8115 MOHAWK LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895069126",
            "telephone_number": "775-677-8115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOLAS LEGACY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-22",
        "last_updated": "2021-09-22",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "RAUDSZUS",
        "authorized_official_first_name": "MARCUS",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "248-521-7810"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Horizon Hills Residential Group Care 1",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Michaela Logan, ED.S
• Ashley Loghry
• Jefferson Logo
• Lohse-Corbridge Orthodontic Partners of Nevada, LTD.
• Miguel Lojo
• Anayansi Lombardero, PH.D.
• Jacob Lombardi
• Rosa Lomeli Tapia
• Daphne London
• Christina Loney

• Assisted Living Facility (Mental Illness) in Reno, NV
• Providers in Reno, NV by specialty
• Assisted Living Facility (Mental Illness) in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2021; 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.