NPIMap

Organization Active NPI

Good Old Days Home Care LLC

Doing business as A Good Old Days Home Care II

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1487154217
Registry record updated Feb 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
8927-AGC-0 Issued in NV
Legal business name
GOOD OLD DAYS HOME CARE LLC
Doing business as
A Good Old Days Home Care II
Practice address
4205 Mira Loma Dr
Reno, NV 89502-5324
Phone
(775) 342-9893
NPI assigned
Feb 19, 2018
Last updated
Feb 19, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
GOOD OLD DAYS HOME CARE LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 19, 2018

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

Authorized official

Name
Renate Ursula Ingensiep
Title
Owner
Phone
(775) 342-9893

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 8927-AGC-0 NV Primary

Addresses

Primary practice location

4205 Mira Loma Dr
Reno, NV 89502-5324

Mailing address

4205 Mira Loma Dr
Reno, NV 89502-5324

Other identifiers 1

IdentifierTypeStateIssuer
8927-AGC-0OtherNVDPBH

Other names 1

  • A Good Old Days Home Care II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Good Old Days Home Care LLC3 organizations share this tax ID, including this one
Part of
Good Old Days Home Care LLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1518998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518998400000",
    "number": "1487154217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4205 MIRA LOMA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4205 MIRA LOMA DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895025324",
            "telephone_number": "775-342-9893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD OLD DAYS HOME CARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GOOD OLD DAYS HOME CARE LLC",
        "enumeration_date": "2018-02-19",
        "last_updated": "2018-02-19",
        "status": "A",
        "authorized_official_last_name": "INGENSIEP",
        "authorized_official_first_name": "RENATE",
        "authorized_official_middle_name": "URSULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-342-9893"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NV",
            "license": "8927-AGC-0",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPBH",
            "identifier": "8927-AGC-0",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Good Old Days Home Care II",
            "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 19, 2018; 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.