EAGLES NEST GROUP HOME (NPI# 1821451675) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821451675 |
| Entity Type | Organization |
| Organization Name | EAGLES NEST GROUP HOME |
| Practice Address |
4310 Toro Ct Reno NV 89502-6426 |
| Practice Telephone | 7758521078 |
| Mailing Telephone | 7758521078 |
| Enumeration Date | 2016-03-30 |
| Last Update Date | 2016-03-30 |
| Authorized Official Name | THERESA FOGAL (PROVIDER) |
| Authorized Official Telephone | 7758521078 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 385H00000X | Respite Care | Respite Care Facility |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NV | 9005053465 | 05 |
| Street Address |
4310 TORO CT |
| City | RENO |
| State | NV |
| Zip Code | 89502-6426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144776170 | Theresa Fogal | Respite Care | 4310 Toro Ct, Reno, NV 89502-6426 | 2016-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992314264 | State of Nevada | Community/Behavioral Health | 4600 Kietzke Lane Bldg D, Reno, NV 89502 | 2020-07-23 |
| 1447879259 | Ryan Johnson | Student in an Organized Health Care Education/Training Program | 1155 Mill St. W-11, Reno, NV 89502 | 2020-04-11 |
| 1396378063 | Domingko Loney | Chore Provider | 1325 Air Motive Wat St 262, Reno, NV 89502 | 2020-02-20 |
| 1053954842 | Derek Craig | Home Health Aide | 1000 Havard Way #29, Reno, NV 89502 | 2019-10-24 |
| 1477108124 | Marisa Rachael Traversie | Nurse Practitioner | 910 Vista Boulevard, Sparks, NV 89502 | 2019-08-08 |
| 1912564675 | Patrick Llewellyn Merrill | Social Worker | 975 Kirman Ave - Ch 116, Reno, NV 89502 | 2019-05-28 |
| 1881154706 | Naresh Kumar Veerabattini | Student in an Organized Health Care Education/Training Program | 1155 Mill St, Renown Regional Medical Center, W11 Academic Department Offices, Reno, NV 89502 | 2019-03-25 |
| 1053899187 | Daphne London | Behavioral Analyst | 1325 Airmotive Way Ste 260, Reno, NV 89502 | 2018-07-31 |
| 1790271609 | Jennifer J Padolina | Optometrist | 2296 Kietzke Ln, Reno, NV 89502 | 2018-07-03 |
| 1336630185 | Lindsey Cherie Cooper | Technician | 3563 Sol Grande Ct, Reno, NV 89502 | 2018-05-27 |
| Find all providers in zip 89502 | ||||
| Taxonomy Code | 385H00000X |
| Grouping | Respite Care Facility |
| Classification | Respite Care |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699339986 | Carmel Community Living Corporation | Respite Care | 200 S Virginia St Ste 800, Reno, NV 89501-2409 | 2019-04-23 |
| 1831651728 | Carmel Community Living Corporation | Respite Care | 11 N Sierra St Ste 104, Reno, NV 89501-1336 | 2019-04-01 |
| 1447719034 | P6 Family Services LLC | Respite Care | 664 Beckwourth Dr, Reno, NV 89506-5766 | 2019-03-13 |
| 1184127235 | Gil Folk | Respite Care | 70 Ocelet Way, Reno, NV 89511-4751 | 2018-03-15 |
| 1760928469 | Sierra Nevada Quality Care | Respite Care | 7820 Opal Bluff Dr, Reno, NV 89506-4716 | 2017-01-18 |
| 1790131274 | Anita Deleon | Respite Care | 2680 Starks Way, Reno, NV 89512-1428 | 2016-05-13 |
| 1982050407 | Carolyn Wikander | Respite Care | 770 Caughlin Gln, Reno, NV 89519-0644 | 2016-05-13 |
| 1962858878 | Heaven Bound Lifestyle Center | Respite Care | 7551 Young Cir, Reno, NV 89511-1337 | 2016-05-10 |
| 1629431408 | Lisa Campanaro | Respite Care | 480 Casey Ct, Reno, NV 89506-9480 | 2016-03-30 |
| 1477914331 | Diana J Klymman | Respite Care | 3825 Macaw Ln, Reno, NV 89508 | 2016-03-18 |
| Find all providers in RENO | ||||
Please comment or provide details below to improve the information on EAGLES NEST GROUP HOME.
| 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.