Provider Demographics
NPI:1376396879
Name:CHAMBERLAIN-ASCURA LLC
Entity Type:Organization
Organization Name:CHAMBERLAIN-ASCURA LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:GRACE
Authorized Official - Middle Name:D
Authorized Official - Last Name:ASCURA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-954-6146
Mailing Address - Street 1:3921 KINGS ROW
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-1832
Mailing Address - Country:US
Mailing Address - Phone:775-954-6146
Mailing Address - Fax:775-622-8203
Practice Address - Street 1:3995 BELMORE WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-1845
Practice Address - Country:US
Practice Address - Phone:775-954-6146
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-08
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home