Provider Demographics
NPI:1336629773
Name:PLEASANT CARE GROUP HOME
Entity Type:Organization
Organization Name:PLEASANT CARE GROUP HOME
Other - Org Name:ELDERLY CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:RICARDO
Authorized Official - Middle Name:PARAGAS
Authorized Official - Last Name:CASTRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:775-225-7213
Mailing Address - Street 1:5505 E BROOKDALE DR
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89523-2220
Mailing Address - Country:US
Mailing Address - Phone:775-225-7213
Mailing Address - Fax:
Practice Address - Street 1:795 SIENNA STATION WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89512-1364
Practice Address - Country:US
Practice Address - Phone:775-225-7213
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-15
Last Update Date:2018-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV7637-AGC-4311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV9005058092Medicaid