Healthcare Provider Details

I. General information

NPI: 1972422756
Provider Name (Legal Business Name): PATE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

625 MARGRAVE DR STE 110
RENO NV
89502-3537
US

IV. Provider business mailing address

625 MARGRAVE DR STE 110
RENO NV
89502-3537
US

V. Phone/Fax

Practice location:
  • Phone: 925-960-5213
  • Fax:
Mailing address:
  • Phone: 925-960-5213
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. TYSON JAMES PATE
Title or Position: OWNER/ADMINISTRATOR
Credential: MS, CCC-SLP
Phone: 925-960-5213