NPIMap

Organization Active NPI

Sierra Intelligence Group LLC

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1568845857
Registry record updated Jul 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SIERRA INTELLIGENCE GROUP LLC
Doing business as
Kings Row Residence
Practice address
1254 Saint Alberts Dr
Reno, NV 89503-2244
Phone
(775) 688-9670
NPI assigned
Jul 3, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2015

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

Authorized official

Name
Mrs. Minmin Song, M.D. PH.D
Title
Managing Member
Phone
(775) 688-9671

Specialties & licenses 1

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

Addresses

Primary practice location

1254 Saint Alberts Dr
Reno, NV 89503-2244

Mailing address

14765 Chateau Ave
Reno, NV 89511-4519
Phone (775) 688-9670

Other names 1

  • Kings Row Residence Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sierra Intelligence Group LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1435881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435881600000",
    "number": "1568845857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14765 CHATEAU AVE",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895114519",
            "telephone_number": "775-688-9670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1254 SAINT ALBERTS DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032244",
            "telephone_number": "775-688-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA INTELLIGENCE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-03",
        "last_updated": "2015-07-03",
        "status": "A",
        "authorized_official_last_name": "SONG",
        "authorized_official_first_name": "MINMIN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "775-688-9671",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D.  PH.D"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kings Row Residence",
            "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 Jul 3, 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.