MAR VON SENIOR CARE (NPI# 1104974500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104974500 |
| Entity Type | Organization |
| Organization Name | MAR VON SENIOR CARE |
| Practice Address |
300 La Rue Ave Reno NV 89509-2014 |
| Mailing Address |
4816 Crestside Dr Sparks NV 89436-3667 |
| Practice Telephone | 7753234696 |
| Practice Fax Number | 7756264605 |
| Mailing Telephone | 7753234696 |
| Mailing Fax Number | 7756264605 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2016-02-16 |
| Authorized Official Name | MRS. THERESA CRUZ BASALLO (ADMINISTRATOR) |
| Authorized Official Telephone | 7753234696 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
285AGC12 | NV | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 005716019 | 05 |
| Street Address |
300 LA RUE AVE |
| City | RENO |
| State | NV |
| Zip Code | 89509-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992283303 | Olson Professional Services, Pllc | Electrodiagnostic Medicine | 66305 S Mccarran Blvd. Ste A4, Reno, NV 89509 | 2018-07-30 |
| 1851883607 | Matthew Christopher Peterson | Behavior Technician | 604 Moana Lane, Reno, NV 89509 | 2018-06-06 |
| 1063901155 | Board of Regents, Nevada System of Higher Education | Assistant Behavior Analyst | 604 West Moana Lane, Reno, NV 89509 | 2018-05-04 |
| 1295243517 | Megan Brenner | Counselor | 527 Plumas Street, Reno, NV 89509 | 2018-01-22 |
| 1881104099 | Trish Lee Mcguire | Occupational Therapist | 540 W Plumb Lane, Suite 201, Reno, NV 89509 | 2017-10-03 |
| 1982113825 | Sasha Bond | Behavior Technician | 3500 Lakeside Ct. #101, Reno, NV 89509 | 2017-09-22 |
| 1124547930 | Sally M Higgins | Student in an Organized Health Care Education/Training Program | 740 California Ave, Reno, NV 89509 | 2017-09-12 |
| 1851819031 | Victoria Vaughn | Counselor | 4390 Interlaken Ct., Reno, NV 89509 | 2017-09-07 |
| 1407373533 | Luis Andres Garcia Lopez | Behavior Technician | 3500 Lakeside Ct., #101, Reno, NV 89509 | 2017-08-29 |
| 1184150757 | Nevada Educational and Therapy Solutions, LLC | Speech-Language Pathologist | 1101 W Moana Lane #7, Reno, NV 89509 | 2017-05-02 |
| Find all providers in zip 89509 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073147922 | Valley of Golden Ages Corp. | Custodial Care Facility | 2680 Margaret Dr, Reno, NV 89506-8651 | 2020-03-01 |
| 1114562667 | Longevity Residential Care II | Custodial Care Facility | 4073 Kings Row, Reno, NV 89503-6825 | 2019-11-07 |
| 1225694730 | Rocking J & L Company | Custodial Care Facility | 2690 Trail Rider Dr, Reno, NV 89521-8008 | 2019-05-10 |
| 1922661834 | Golden Years Castle Property Holdings LLC | Custodial Care Facility | 5175 Sleepy Hollow Dr, Reno, NV 89502-9699 | 2019-04-16 |
| 1790246635 | La Familia Homes Dba Serenity Senior Care | Custodial Care Facility | 3645 Rio Poco Rd, Reno, NV 89502-5349 | 2019-03-25 |
| 1720545916 | Nelia Buendia | Custodial Care Facility | 5325 Vista Larga Cir, Reno, NV 89523-1815 | 2019-02-25 |
| 1336605104 | Better Samaritan Inc | Custodial Care Facility | 10515 Kenai Dr, Reno, NV 89521-8319 | 2019-02-15 |
| 1720556293 | Jhoanna Manalo | Custodial Care Facility | 1435 Akard Dr, Reno, NV 89503-3121 | 2018-11-02 |
| 1326513250 | Starlight Group Home, LLC | Custodial Care Facility | 2301 E 9th St, Reno, NV 89512-3201 | 2018-10-07 |
| 1174005987 | Sierra Intelligence Group, LLC | Custodial Care Facility | 4190 Bismarck Dr, Reno, NV 89502-6306 | 2018-08-29 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on MAR VON SENIOR CARE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.