Inspired Senior Living of Carson Valley Mt, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

INSPIRED SENIOR LIVING OF CARSON VALLEY MT, LLC

Doing business as

Carson Valley Senior Living

Practice address

1189 Kimmerling Rd
Gardnerville, NV 89460-7580

Phone

(775) 265-1400

Fax

(775) 265-9152

NPI assigned

Mar 24, 2022

Organization subpart

No

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

Authorized official

Name

Luke Lee

Title

Manager

Phone

(480) 748-4339

Specialties & licenses 1

Addresses

Other names 1

• Carson Valley Senior Living Doing business as

Locations

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648080000000",
    "number": "1871243865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7047 E GREENWAY PKWY STE 300",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548116",
            "telephone_number": "480-748-4339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1189 KIMMERLING RD",
            "city": "GARDNERVILLE",
            "state": "NV",
            "postal_code": "894607580",
            "telephone_number": "775-265-1400",
            "fax_number": "775-265-9152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRED SENIOR LIVING OF CARSON VALLEY MT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "LUKE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-748-4339"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carson Valley Senior Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Horton, CPCP
• Robert James Houchin, DDS
• Belinda Elaine Hubkey
• Brenda J. Hulphers, LCSW
• Luke Iglinski
• Whitney Wickstrom Jacks, DAOM
• Sara Frances Jacobsen, M.S., CCC-SLP
• James J Lynch MD LTD (The Swift Institute)
• Josephine James
• Brady M Jens, RPH

• Assisted Living Facility in Gardnerville, NV
• Providers in Gardnerville, NV by specialty
• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 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.