NPIMap

Organization Active NPI

Jonathan Buenviaje

Doing business as Kings Row Residence

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1295512234
Registry record updated Sep 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
JONATHAN BUENVIAJE
Doing business as
Kings Row Residence
Practice address
1254 Saint Alberts Dr
Reno, NV 89503
Phone
(775) 746-4419
NPI assigned
Sep 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2023

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

Authorized official

Name
Laila Buenviaje, RFANPI 1174333058
Title
Administrator
Phone
(775) 432-3887

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

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

Addresses

Primary practice location

1254 Saint Alberts Dr
Reno, NV 89503

Mailing address

1254 Saint Alberts Dr
Reno, NV 89503
Phone (775) 746-4419

Other names 1

  • Kings Row Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Evergreen Recidences3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1694563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694563200000",
    "number": "1295512234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1254 SAINT ALBERTS DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-746-4419",
            "fax_number": "775-451-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 SAINT ALBERTS DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "89503",
            "telephone_number": "775-746-4419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN BUENVIAJE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-13",
        "last_updated": "2023-09-13",
        "status": "A",
        "authorized_official_last_name": "BUENVIAJE",
        "authorized_official_first_name": "LAILA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-432-3887",
        "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": "Kings Row Residence",
            "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 Sep 13, 2023; 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.