Active NPI
Homestead Operations, LLC
- Assisted Living Facility
- Fallon, NV
National Provider Identifier
1497231583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- 4193AGC-17
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.