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1922488774 NPI number — SUMMERDALE HOMES @ RIATA LLC

NPI Number: 1922488774
Health Care Provider/Practitioner: SUMMERDALE HOMES @ RIATA LLC

Information about “1922488774” NPI (SUMMERDALE HOMES @ RIATA LLC) exists in 1922488774 in HTML format HTML  |  1922488774 in plain Text format TXT  |  1922488774 in PDF (Portable Document Format) PDF  |  1922488774 in an XML format XML  formats.

NPI Number : 1922488774 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1922488774",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "SUMMERDALE HOMES @ RIATA LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "14315 RIATA CIR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "RENO",
    "MailingAddressStateName": "NV",
    "MailingAddressPostalCode": "89521-5204",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "775-851-4185",
    "MailingAddressFaxNumber": "775-851-4285",
    "FirstLinePracticeLocationAddress": "14315 RIATA CIR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "RENO",
    "PracticeLocationAddressStateName": "NV",
    "PracticeLocationAddressPostalCode": "89521-5204",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "775-851-4185",
    "PracticeLocationAddressFaxNumber": "775-851-4285",
    "EnumerationDate": "06/08/2015",
    "LastUpdateDate": "06/10/2015",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GASATAYA",
    "AuthorizedOfficialFirstName": "EUGENE",
    "AuthorizedOfficialMiddleName": "ROBLES",
    "AuthorizedOfficialTitle": "ADMINISTRATOR/OWNER",
    "AuthorizedOfficialNamePrefix": "MR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "310-855-4862",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "310400000X",
        "TaxonomyName": "Assisted Living Facility",
        "LicenseNumber": "NVN4241AGC",
        "LicenseNumberStateCode": "NV",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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