NPIMap

Organization Active NPI

Golden Manor, LLC

Doing business as Golden Manor

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1497122634
Registry record updated Aug 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
GOLDEN MANOR, LLC
Doing business as
Golden Manor
Practice address
416 Sysonby CT
Reno, NV 89521-6263
Phone
(775) 762-2160
NPI assigned
Aug 24, 2015
Last updated
Aug 24, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2015

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

Authorized official

Name
Mrs. Leonila Olazo Beltejar
Title
Owner
Phone
(775) 762-2160

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

416 Sysonby CT
Reno, NV 89521-6263

Mailing address

2515 Westfall Rd
Sparks, NV 89436-6126
Phone (775) 762-2160

Other names 1

  • Golden Manor Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Golden Manor2 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.

NPI Registry JSON

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440374400000",
    "number": "1497122634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 WESTFALL RD",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894366126",
            "telephone_number": "775-762-2160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 SYSONBY CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216263",
            "telephone_number": "775-762-2160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "LEONILA",
        "authorized_official_middle_name": "OLAZO",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-762-2160",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Golden Manor",
            "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 Aug 24, 2015; 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.