Organization Active NPI

Rivendel Independent Living, Inc.

  • Community/Behavioral Health Agency
  • Reno, NV
National Provider Identifier
1457608242
Registry record updated Aug 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
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

Updated by the provider on Aug 10, 2012

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)CodeLicenseStatePrimary
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 Inc2 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.

Practitioners & affiliated clinicians

Practitioners 1

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

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.

Verify at the official NPI Registry.