A Summerdale Homes @ Ribeiro LLC

Key facts

NPI

1861993099

Entity type

Organization (NPI type 2)

Primary specialty

Assisted Living Facility 310400000X

License

2194-AGC-27 (NV)

Legal business name

A SUMMERDALE HOMES @ RIBEIRO LLC

Practice address

1868 Ribeiro Cir
Reno, NV 89503-4035

Phone

(775) 746-1949

Fax

(775) 746-9244

NPI assigned

Feb 22, 2018

Organization subpart

No

Authorized official

Name

Mr. Eugene Robles Gasataya

Title

Administrator

Phone

(310) 855-4862

National Provider Directory

Specialties & licenses

Addresses

Other names

• A Summerdale Homes @ Ribeiro LLC Doing business as

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 22, 2018.

{
    "created_epoch": "1519257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519257600000",
    "number": "1861993099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1868 RIBEIRO CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034035",
            "telephone_number": "775-746-1949",
            "fax_number": "775-746-9244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1868 RIBEIRO CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895034035",
            "telephone_number": "775-746-1949",
            "fax_number": "775-746-9244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A SUMMERDALE HOMES @ RIBEIRO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-22",
        "last_updated": "2018-02-22",
        "status": "A",
        "authorized_official_last_name": "GASATAYA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ROBLES",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "310-855-4862",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "2194-AGC-27",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A Summerdale Homes @ Ribeiro LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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