Organization Active NPI

St. Paul'S Home Care III

  • Assisted Living Facility
  • Reno, NV
National Provider Identifier
1669993572
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
7195-AGC-6 Issued in NV
Legal business name
ST. PAUL'S HOME CARE III
Practice address
4910 Koenig Road
Reno, NV 89506-7811
Phone
(775) 657-6483
Fax
(775) 453-2263
NPI assigned
Jun 30, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Jeris Beltejar
Title
Owner
Phone
(775) 657-6483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 7195-AGC-6 NV Primary

Addresses

Primary practice location

4910 Koenig Road
Reno, NV 89506-7811

Mailing address

4910 Koenig Rd
Reno, NV 89506-7811
Phone (775) 657-6483

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1498780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1669993572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 KOENIG RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067811",
            "telephone_number": "775-657-6483",
            "fax_number": "775-453-2263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 KOENIG ROAD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895067811",
            "telephone_number": "775-657-6483",
            "fax_number": "775-453-2263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. PAUL'S HOME CARE III",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR",
        "authorized_official_first_name": "JERIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-657-6483"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "7195-AGC-6",
            "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 Jul 21, 2022; 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.