Summerdale Homes @ Riata LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

NVN4241AGC Issued in NV

Legal business name

SUMMERDALE HOMES @ RIATA LLC

Practice address

14315 Riata Cir
Reno, NV 89521-5204

Phone

(775) 851-4185

Fax

(775) 851-4285

NPI assigned

Jun 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Eugene Robles Gasataya

Title

Administrator/Owner

Phone

(310) 855-4862

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1433721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433894400000",
    "number": "1922488774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14315 RIATA CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215204",
            "telephone_number": "775-851-4185",
            "fax_number": "775-851-4285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14315 RIATA CIR",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215204",
            "telephone_number": "775-851-4185",
            "fax_number": "775-851-4285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERDALE HOMES @ RIATA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-08",
        "last_updated": "2015-06-10",
        "status": "A",
        "authorized_official_last_name": "GASATAYA",
        "authorized_official_first_name": "EUGENE",
        "authorized_official_middle_name": "ROBLES",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "310-855-4862",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NV",
            "license": "NVN4241AGC",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Reno, NV
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• Assisted Living Facility in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; 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.