Provider Demographics
NPI:1710672183
Name:SAINT PAUL HOME CARE II
Entity Type:Organization
Organization Name:SAINT PAUL HOME CARE II
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EVANGELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:BELTEJAR-DIFUNTORUM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-324-0691
Mailing Address - Street 1:4900 KOENIG RD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89506-7811
Mailing Address - Country:US
Mailing Address - Phone:775-324-0691
Mailing Address - Fax:775-324-1220
Practice Address - Street 1:4900 KOENIG RD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89506-7811
Practice Address - Country:US
Practice Address - Phone:775-324-0691
Practice Address - Fax:775-324-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-10
Last Update Date:2023-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility