Provider Demographics
NPI:1821536707
Name:RENO HEALTH CARE LLC
Entity Type:Organization
Organization Name:RENO HEALTH CARE LLC
Other - Org Name:SIERRA RIDGE HEALTH AND WELLNESS SUITES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAM
Authorized Official - Middle Name:
Authorized Official - Last Name:MCGAVOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:775-683-4200
Mailing Address - Street 1:6225 SHARLANDS AVE
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2785
Mailing Address - Country:US
Mailing Address - Phone:775-683-4200
Mailing Address - Fax:
Practice Address - Street 1:6225 SHARLANDS AVE
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89523-2785
Practice Address - Country:US
Practice Address - Phone:775-683-4200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-10
Last Update Date:2019-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility