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CARSON VALLEY SENIOR LIVING LLC NPI 1346803921


NPI Information

NPI: 1346803921
Provider Name: CARSON VALLEY SENIOR LIVING LLC
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 29D1013519

Address:
1189 KIMMERLING RD
GARDNERVILLE, NV
ZIP 89460
Phone: (775) 737-1847
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CARSON VALLEY SENIOR LIVING LLC is an assisted living facility in Gardnerville, NV. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. CARSON VALLEY SENIOR LIVING LLC NPI is 1346803921. The provider is registered as an organization entity type.

The provider's business location address is:

1189 KIMMERLING RD
GARDNERVILLE, NV
ZIP 89460-580
Phone: (775) 737-1847
Fax: (775) 562-4757

The provider's authorized official is Darryl Fisher .
The authorized official title is Manager and has the following contact phone number (775) 434-1847.

The CLIA number assigned to this NPI record is 29D1013519 - community clinic with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/18/2019 and was last updated on 4/18/2019.


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
1310400000XAssisted Living FacilityYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1API-9005034721MEDICAIDNEVADA

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.