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KING GROUP HOME NPI 1194861013


NPI Information

NPI: 1194861013
Provider Name: KING GROUP HOME
Classification: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320900000X
Entity Type: Organization
Address:
7894 TREASURE COVE CT
RENO, NV
ZIP 89506
Phone: (775) 677-1114
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KING GROUP HOME is a community based residential treatment facility, intellectual and/or developmental disabilities in Reno, NV. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. KING GROUP HOME NPI is 1194861013. The provider is registered as an organization entity type.

The provider's business location address is:

7894 TREASURE COVE CT
RENO, NV
ZIP 89506-186
Phone: (775) 677-1114
Fax: (775) 677-1116

The provider's authorized official is Brenton Charles King .
The authorized official title is Owner and has the following contact phone number (775) 677-1114.

The enumeration date for this NPI number is 1/29/2007 and was last updated on 11/14/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320900000XCommunity Based Residential Treatment Facility, Intellectual and/or Developmental DisabilitiesGF-465264NEVADAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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