Active NPI
Revive Reno LLC
- Skilled Nursing Facility
- Reno, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- LLC
- 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 Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Nov 16, 1988
- Medicare certification status
- Active
- Certified beds
- 189
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 29D0540060 | Alpine Skilled Nursing and Rehabilitation Center | Certificate of waiver | Aug 31, 2026 |
National Provider Directory
National Provider Directory- Tax ID family
- Revive Reno LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Skilled Nursing Facility
- Reno, NV
- NPI 1932053105
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Revive Reno LLC | 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 | Managing Control - Governing Body | Feb 1, 2022 | |
| Adp of the SNF | Feb 1, 2022 | ||
| Plumas Street LLC | 5% Or Greater Mortgage Interest | Feb 1, 2022 | 100% |
| Adp of the SNF | Feb 1, 2022 | ||
| Joseph Nasrawy | Managing Control - Governing Body | Feb 1, 2022 | |
| Adp of the SNF | Feb 1, 2022 | ||
| Chelsey Gray | Limited Partnership Interest | Feb 1, 2022 | 1% |
| Managing Control - Governing Body | Feb 1, 2022 | ||
| Adp of the SNF | Feb 1, 2022 | ||
| Indirect Ownership Interest | Feb 1, 2022 | 1% | |
| Asl Realty LLC | 5% Or Greater Mortgage Interest | Feb 1, 2022 | 49.5% |
| Adp of the SNF | Feb 1, 2022 | ||
| Zachary S Gray | 5% Or Greater Indirect Ownership Interest | Feb 1, 2022 | 99% |
| 5% Or Greater Mortgage Interest | Feb 1, 2022 | 49.25% | |
| Operational/Managerial Control | Feb 1, 2022 | ||
| Managing Control - Governing Body | Feb 1, 2022 | ||
| Adp of the SNF | Feb 1, 2022 | ||
| Indirect Ownership Interest | Feb 1, 2022 | 99% | |
| Andrew Lebowitz | 5% Or Greater Mortgage Interest | Feb 1, 2022 | 49.25% |
| Adp of the SNF | Feb 1, 2022 | ||
| Adp of the SNF | Jan 1, 2023 | ||
| Revive Health Senior Care Management LLC | Adp of the SNF | Feb 1, 2022 | |
| Adp of the SNF | Jan 1, 2024 | ||
| Gray Estate Holdings LLC | 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.
-
- Family Medicine Physician
- Reno, NV
- NPI 1124013206
-
- Internal Medicine Physician
- Reno, NV
- NPI 1215083845
-
- Family Medicine Physician
- Phoenix, AZ
- NPI 1205807005
-
- Nephrology Physician
- San Jose, CA
- NPI 1790777852
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.