Organization Active NPI

Revive Reno LLC

  • Skilled Nursing Facility
  • Reno, NV
National Provider Identifier
1346901311
Registry record updated Feb 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
REVIVE RENO LLC
Practice address
3101 Plumas St
Reno, NV 89509-4515
Phone
(775) 433-2700
NPI assigned
Jan 3, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2025

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

Authorized official

Name
Zachary Gray
Title
Manager
Phone
(518) 852-3255

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

3101 Plumas St
Reno, NV 89509-4515

Mailing address

9410 Prototype Dr Ste 7
Reno, NV 89521-5903
Phone (775) 433-2700

Other names 1

  • ALPINE SKILLED NURSING AND REHABILITATION CENTER Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220908002796 NV Part A Provider - Skilled Nursing Facility 1658755871 Practice locations: Reno, NV

Skilled nursing facility certification: CCN 295043

Legal name
REVIVE RENO LLC
Doing business as
ALPINE SKILLED NURSING AND REHABILITATION CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 16, 1988
Last certification
Jan 13, 2025
Beds
189
Ownership / control type
Limited Liability Corporation
Multi-facility organization
Revive Health Senior Care Management
Organization structure
LLCProprietary
Enrollment address
3101 Plumas St
Reno, NV 89509-4515
Nursing home name
ALPINE SKILLED NURSING AND REHABILITATION CENTER

Care Compare: Nursing home

Medicare Care Compare
Listed as
Alpine Skilled Nursing and Rehabilitation CenterCCN 295043
Overall star rating
2 of 5
Health inspections
2 of 5
Staffing
3 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Nov 16, 1988
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
189155.3 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
29D0540060Alpine Skilled Nursing and Rehabilitation Center3101 Plumas St, Reno, NV 89509Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory
Tax ID family
Revive Reno LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 12

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Revive Reno LLC Organization, Reno, NV Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 100%
Adp of the SNF Apr 1, 2025
Direct Ownership Interest Feb 1, 2022 100%
Marie Nadora Individual Managing Control - Governing BodyVP of Clinical Services Feb 1, 2022
Adp of the SNF Feb 1, 2022
Plumas Street LLC Organization, Reno, NV Created for acquisition, LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Feb 1, 2022 100%
Adp of the SNF Feb 1, 2022
Joseph Nasrawy Individual Managing Control - Governing BodyCfo Feb 1, 2022
Adp of the SNF Feb 1, 2022
Chelsey Gray Individual Limited Partnership Interest Feb 1, 2022 1%
Managing Control - Governing BodyVP of Transformation Feb 1, 2022
Adp of the SNF Feb 1, 2022
Indirect Ownership Interest Feb 1, 2022 1%
Asl Realty LLC Organization, Santa Monica, CA LLC, Owned by another organization or individual 5% Or Greater Mortgage Interest Feb 1, 2022 49.5%
Adp of the SNF Feb 1, 2022
Zachary S Gray Individual 5% Or Greater Indirect Ownership InterestCeo Feb 1, 2022 99%
5% Or Greater Mortgage InterestCeo Feb 1, 2022 49.25%
Operational/Managerial Control Feb 1, 2022
Managing Control - Governing BodyCeo Feb 1, 2022
Adp of the SNF Feb 1, 2022
Indirect Ownership Interest Feb 1, 2022 99%
Andrew Lebowitz Individual 5% Or Greater Mortgage Interest Feb 1, 2022 49.25%
Adp of the SNF Feb 1, 2022
Individual Adp of the SNF Jan 1, 2023
Revive Health Senior Care Management LLC Organization, Reno, NV LLC Adp of the SNF Feb 1, 2022
Individual Adp of the SNF Jan 1, 2024
Gray Estate Holdings LLC Organization, Reno, NV LLC, Owned by another organization or individual 5% Or Greater Direct Ownership Interest Feb 1, 2022 100%
5% Or Greater Mortgage Interest Feb 1, 2022 49.5%
Adp of the SNF Feb 1, 2022

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

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

Affiliated clinicians 4

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1641168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740355200000",
    "number": "1346901311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9410 PROTOTYPE DR STE 7",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215903",
            "telephone_number": "775-433-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3101 PLUMAS ST",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895094515",
            "telephone_number": "775-433-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REVIVE RENO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-03",
        "last_updated": "2025-02-24",
        "certification_date": "2025-02-19",
        "status": "A",
        "authorized_official_last_name": "GRAY",
        "authorized_official_first_name": "ZACHARY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "518-852-3255"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ALPINE SKILLED NURSING AND REHABILITATION CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Reno, NV

Sources for this page

Verify at the official NPI Registry.