Mason Valley Residence LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MASON VALLEY RESIDENCE LLC

Practice address

705 South St
Yerington, NV 89447-2192

Phone

(801) 683-6565

NPI assigned

Sep 15, 2022

Organization subpart

No

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

Authorized official

Name

Matt Rasband

Title

Ceo

Phone

(801) 683-6565

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1663200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663200000000",
    "number": "1477275469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 SOUTH ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472192",
            "telephone_number": "801-683-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 SOUTH ST",
            "city": "YERINGTON",
            "state": "NV",
            "postal_code": "894472192",
            "telephone_number": "801-683-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MASON VALLEY RESIDENCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-15",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-15",
        "status": "A",
        "authorized_official_last_name": "RASBAND",
        "authorized_official_first_name": "MATT",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "801-683-6565"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Martinez
• Richard Martinez
• Josef Carrol Masini
• Mason Valley Fire and Ambulance
• Mason Valley Physical Therapy, Inc.
• Dena Lee Mattice, RN
• Bobby Gene McAnally
• Nataani McCabe
• Joseph McCann
• Shawn McCarty

• Assisted Living Facility in Yerington, NV
• Providers in Yerington, 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 Sep 15, 2022; 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.