NPIMap

Organization Active NPI

Grandmother's Crib

  • Adult Day Care Clinic/Center
  • Reno, NV
National Provider Identifier
1841654100
Registry record updated Apr 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Day Care Clinic/CenterTaxonomy code 261QA0600X
License
5703AGC-12 Issued in NV
Legal business name
GRANDMOTHER'S CRIB
Practice address
700 Sienna Station Way
Reno, NV 89512-1363
Phone
(775) 470-5313
Fax
(775) 470-5191
NPI assigned
Apr 12, 2016
Last updated
Apr 12, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2016

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

Authorized official

Name
Evangeline Beltejar-DifuntorumNPI 1053771907
Title
Owner
Phone
(775) 530-5745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Day Care Clinic/Center 261QA0600X 5703AGC-12 NV Primary

Addresses

Primary practice location

700 Sienna Station Way
Reno, NV 89512-1363

Mailing address

700 Sienna Station Way
Reno, NV 89512-1363
Phone (775) 470-5313

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1841654100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 SIENNA STATION WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121363",
            "telephone_number": "775-470-5313",
            "fax_number": "775-470-5191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 SIENNA STATION WAY",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121363",
            "telephone_number": "775-470-5313",
            "fax_number": "775-470-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRANDMOTHER'S CRIB",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "BELTEJAR-DIFUNTORUM",
        "authorized_official_first_name": "EVANGELINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "775-530-5745"
    },
    "taxonomies": [
        {
            "code": "261QA0600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Day Care",
            "state": "NV",
            "license": "5703AGC-12",
            "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 Apr 12, 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.