Provider Demographics
NPI:1710699665
Name:HOLY CHILD RESIDENTIAL CARE LLC
Entity Type:Organization
Organization Name:HOLY CHILD RESIDENTIAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OPERATIONS MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ALAN RAYMOND
Authorized Official - Middle Name:
Authorized Official - Last Name:BARCELON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-830-5356
Mailing Address - Street 1:5815 TAPPAN DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2297
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2225 JESTER CT
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2307
Practice Address - Country:US
Practice Address - Phone:775-787-2100
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-21
Last Update Date:2022-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility