Organization Active NPI

Valley of Golden Ages Corp.

  • Adult Care Home Facility
  • Reno, NV
National Provider Identifier
1629784343
Registry record updated Jan 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
VALLEY OF GOLDEN AGES CORP.
Practice address
1360 Marne Dr
Reno, NV 89503-2030
Phone
(775) 762-2162
Fax
(775) 622-1688
NPI assigned
Jan 26, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2023

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

Authorized official

Name
Ernesto Beltejar Jr., RFA-9318
Title
Administrator
Phone
(775) 762-2162

Specialties & licenses 1

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

Addresses

Primary practice location

1360 Marne Dr
Reno, NV 89503-2030

Mailing address

8275 Opal Station Dr
Reno, NV 89506-7781
Phone (775) 762-2162

Other names 1

  • SUNLIFE CARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sunlife Care2 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": "1674691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1674691200000",
    "number": "1629784343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8275 OPAL STATION DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067781",
            "telephone_number": "775-762-2162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 MARNE DR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895032030",
            "telephone_number": "775-762-2162",
            "fax_number": "775-622-1688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY OF GOLDEN AGES CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-26",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "ERNESTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "775-762-2162",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RFA-9318"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SUNLIFE CARE",
            "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 Jan 26, 2023; 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.