Provider Demographics
NPI:1225694730
Name:ROCKING J & L COMPANY
Entity Type:Organization
Organization Name:ROCKING J & L COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:LEONILA
Authorized Official - Middle Name:OLAZO
Authorized Official - Last Name:BELTEJAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-501-4000
Mailing Address - Street 1:2690 TRAIL RIDER DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8008
Mailing Address - Country:US
Mailing Address - Phone:775-501-4000
Mailing Address - Fax:
Practice Address - Street 1:2690 TRAIL RIDER DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8008
Practice Address - Country:US
Practice Address - Phone:775-501-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-10
Last Update Date:2019-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005058464Medicaid