PROVIDENCE HOME CARE (NPI# 1649834292) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649834292 |
| Entity Type | Organization |
| Organization Name | PROVIDENCE HOME CARE |
| Practice Address |
5325 Vista Larga Cir Reno NV 89523-1815 |
| Mailing Address |
1783 Fairway Hills Trl Reno NV 89523-6889 |
| Practice Telephone | 7757871188 |
| Practice Fax Number | 7757871188 |
| Mailing Telephone | 7758462270 |
| Mailing Fax Number | 7757460966 |
| Enumeration Date | 2019-04-30 |
| Last Update Date | 2019-04-30 |
| Authorized Official Name | MRS. NELIA VALDEZ BUENDIA (FACILITY ADMINISTRATOR) |
| Authorized Official Telephone | 7758462270 |
| Authorized Official Credential | ADMINISTRATOR |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619160900 | Providence Home Care | Home Health | 230 Alpha Park, Highland Hts, OH 44143-2216 | 2007-08-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | PROVIDENCE HOME CARE AGENCY INC | 29 N 4th St, Emmaus, PA 18049-2745 |
| Street Address |
5325 VISTA LARGA CIR |
| City | RENO |
| State | NV |
| Zip Code | 89523-1815 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720545916 | Nelia Buendia | Custodial Care Facility | 5325 Vista Larga Cir, Reno, NV 89523-1815 | 2019-02-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992351316 | Brian K. Iriye Md and Associates Ltd. | Obstetrics & Gynecology | 9780 S. Mccarran Blvd, #1, Reno, NV 89523 | 2019-08-12 |
| 1003323510 | Tate Health and Wellness, Pllc | Nurse Practitioner | 2005 Sierra Highlands Dr., Suite 101, Reno, NV 89523 | 2018-01-05 |
| 1952810194 | Michael Anacker | Occupational Therapist | 5410 Simons Drive, Reno, NV 89523 | 2017-09-20 |
| 1033570981 | Alison Butler | Speech-Language Pathologist | 7289 Heatherwood Dr., Reno, NV 89523 | 2016-03-18 |
| 1033586417 | Phoenix Providers | Preferred Provider Organization | 3844 Joy Ln, Reno, NV 89523 | 2015-09-01 |
| 1841637006 | Nicole Katherine Butler | Audiologist | 9770 S. Mccarren Blvd, Reno, NV 89523 | 2013-05-29 |
| 1477803922 | Laura Soukup | Speech-Language Pathologist | 5820 Lindsay Drive, Reno, NV 89523 | 2012-09-12 |
| 1578812939 | Jeanine Kay Johnson | Community Health Worker | 9195 Bay Meadows Dr., Reno, NV 89523 | 2012-08-31 |
| 1851626931 | Steven Koning | Optometrist | 9700 South Mccarran Blvd., Reno, NV 89523 | 2009-10-07 |
| 1306083712 | Medical Physics Services | General Acute Care Hospital | 2027 Thornbury Ct., Reno, NV 89523 | 2009-01-08 |
| Find all providers in zip 89523 | ||||
| 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 | ||||
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| 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.