NPIMap

Organization Active NPI

Golden Manor LLC.

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1629426937
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
8585-HIC-0 Issued in NV
Legal business name
GOLDEN MANOR LLC.
Practice address
580 Beckfield CT
Reno, NV 89521-6248
Phone
(775) 762-2162
Fax
(775) 376-8015
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Mr. Ernesto Domingo Beltejar Jr.
Title
Administrator
Phone
(775) 762-2162

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X 8585-HIC-0 NV Primary

Addresses

Primary practice location

580 Beckfield CT
Reno, NV 89521-6248

Mailing address

580 Beckfield CT
Reno, NV 89521-6248
Phone (775) 762-2162

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": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1629426937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "580 BECKFIELD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216248",
            "telephone_number": "775-762-2162",
            "fax_number": "775-376-8015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "580 BECKFIELD CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895216248",
            "telephone_number": "775-762-2162",
            "fax_number": "775-376-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOLDEN MANOR LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_middle_name": "DOMINGO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-762-2162",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NV",
            "license": "8585-HIC-0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 May 26, 2016; 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.