The Wedgewood Group, LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

License

1196SNF-10 Issued in NV

Legal business name

THE WEDGEWOOD GROUP, LLC

Practice address

445 Holcomb Ranch LN
Reno, NV 89511-5435

Phone

(775) 851-0123

Fax

(775) 851-3754

NPI assigned

Jun 15, 2010

Organization subpart

No

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

Authorized official

Name

Cindy S Cross

Title

Assistant Secretary

Phone

(423) 473-5867

Specialties & licenses 1

Addresses

Other names 1

• Life Care Center of Reno Doing business as

Tax ID family

Wedgwood Group LLC2 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.

• Wedgwood Group LLC

  • Skilled Nursing Facility
  • Reno, NV
  • NPI 1821035247
  NPD tax ID

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1861713752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 KEITH ST NW",
            "city": "CLEVELAND",
            "state": "TN",
            "postal_code": "373123713",
            "telephone_number": "423-473-5751",
            "fax_number": "423-339-8342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "445 HOLCOMB RANCH LN",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895115435",
            "telephone_number": "775-851-0123",
            "fax_number": "775-851-3754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WEDGEWOOD GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "423-473-5867"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NV",
            "license": "1196SNF-10",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Life Care Center of Reno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• All providers in Reno, NV
• Rehabilitation Clinic/Center in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2010; 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.