Servant Heart Senior Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

SERVANT HEART SENIOR LIVING LLC

Practice address

2225 Jester CT
Reno, NV 89503-2307

Phone

(775) 787-2100

NPI assigned

Jan 8, 2024

Organization subpart

No

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

Authorized official

Name

Mrs. Nida MirNPI 1891578290

Title

Administrator

Phone

(775) 229-2957

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Servant Heart Doing business as

Practitioners 1

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

• Nida Mir

  • Assisted Living Facility
  • Reno, NV
  • NPI 1891578290
  NPD Authorized official

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1346010683",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 JESTER CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032307",
            "telephone_number": "775-787-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 JESTER CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032307",
            "telephone_number": "775-787-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SERVANT HEART SENIOR LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "MIR",
        "authorized_official_first_name": "NIDA",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-229-2957",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891578290",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Servant Heart",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bianca Marie Serrano
• Deisy M Serrano, R.PH.
• Amanda Rose Serrao
• Cecilia Zamora Serujo, RBT
• Jeanine Serusa, LMFT
• Lucinda Elizabeth Servi
• Shannon Marie Servi, LCSW
• Sofia Sevillano
• Gabrielle Sewell
• Glen Thomas Sewell, M.D.

• Assisted Living Facility in Reno, NV
• Providers in Reno, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.