Active NPI
Rivendel Independent Living, Inc.
- Community/Behavioral Health Agency
- Reno, NV
National Provider Identifier
1457608242
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- RIVENDEL INDEPENDENT LIVING, INC.
- Practice address
- 2990 Regal CT
Reno, NV 89503-1809 - Phone
- (877) 787-0402
- Fax
- (866) 831-3817
- NPI assigned
- Aug 10, 2012
- 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
- Diana Beidel
- Title
- Director of Operations
- Phone
- (877) 787-0402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | NV | Primary |
Addresses
Primary practice location
2990 Regal CT
Reno, NV 89503-1809
Mailing address
2990 Regal CT
Reno, NV 89503-1809
Phone (877) 787-0402
National Provider Directory
National Provider Directory- Tax ID family
- Rivendel Independent Living Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Community/Behavioral Health Agency
- Reno, NV
- NPI 1164723797
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Day Training/Habilitation Specialist
- Reno, NV
- NPI 1760814131
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1344556800000",
"number": "1457608242",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2990 REGAL CT",
"city": "RENO",
"state": "NV",
"postal_code": "895031809",
"telephone_number": "877-787-0402",
"fax_number": "866-831-3817"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2990 REGAL CT",
"city": "RENO",
"state": "NV",
"postal_code": "895031809",
"telephone_number": "877-787-0402",
"fax_number": "866-831-3817"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVENDEL INDEPENDENT LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2012-08-10",
"last_updated": "2012-08-10",
"status": "A",
"authorized_official_last_name": "BEIDEL",
"authorized_official_first_name": "DIANA",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "877-787-0402"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NV",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Aug 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.