Organization Active NPI

Homestead Operations, LLC

  • Assisted Living Facility
  • Fallon, NV
National Provider Identifier
1497231583
Registry record updated Jul 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
4193AGC-17 Issued in NV
Legal business name
HOMESTEAD OPERATIONS, LLC
Doing business as
The Homestead
Practice address
365 W a St
Fallon, NV 89406-2905
Phone
(775) 428-2428
NPI assigned
Jul 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2018

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

Authorized official

Name
Paul W Dendy
Title
Member
Phone
(360) 882-4500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 4193AGC-17 NV Primary

Addresses

Primary practice location

365 W a St
Fallon, NV 89406-2905

Mailing address

201 NE Park Plaza Dr Ste 105
Vancouver, WA 98684-5874
Phone (136) 088-2450

Other names 1

  • The Homestead Doing business as

National Provider Directory

National Provider Directory

Locations

365 W A St
Fallon, NV 89406
Phone (775) 428-2428

NPI Registry JSON

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

{
    "created_epoch": "1531353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1531353600000",
    "number": "1497231583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 NE PARK PLAZA DR STE 105",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845874",
            "telephone_number": "136-088-2450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 W A ST",
            "city": "FALLON",
            "state": "NV",
            "postal_code": "894062905",
            "telephone_number": "775-428-2428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMESTEAD OPERATIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-12",
        "last_updated": "2018-07-12",
        "status": "A",
        "authorized_official_last_name": "DENDY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "360-882-4500"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "4193AGC-17",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Homestead",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallon, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 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.