Providence Home Care

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

Legal business name

PROVIDENCE HOME CARE

Practice address

5325 Vista Larga Cir
Reno, NV 89523-1815

Phone

(775) 787-1188

Fax

(775) 787-1188

NPI assigned

Apr 30, 2019

Last updated

Apr 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Nelia Valdez Buendia, ADMINISTRATORNPI 1720545916

Title

Facility Administrator

Phone

(775) 846-2270

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nelia Buendia, RN

  • Adult Care Home Facility
  • Reno, NV
  • NPI 1720545916
  NPD Authorized official

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

{
    "created_epoch": "1556582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556582400000",
    "number": "1649834292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1783 FAIRWAY HILLS TRL",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895236889",
            "telephone_number": "775-846-2270",
            "fax_number": "775-746-0966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 VISTA LARGA CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895231815",
            "telephone_number": "775-787-1188",
            "fax_number": "775-787-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-30",
        "last_updated": "2019-04-30",
        "status": "A",
        "authorized_official_last_name": "BUENDIA",
        "authorized_official_first_name": "NELIA",
        "authorized_official_middle_name": "VALDEZ",
        "authorized_official_title_or_position": "FACILITY ADMINISTRATOR",
        "authorized_official_telephone_number": "775-846-2270",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ADMINISTRATOR"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adult Care Home Facility in Reno, NV
• Providers in Reno, NV by specialty
• Adult Care Home Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2019; 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.