NPI 1902376494 · live from the CMS NPI Registry
Avalon Care Center - Va Reno LLC
Skilled Nursing Facility in Sparks, NV. National Provider Identifier 1902376494, active.
NPI record
| NPI | 1902376494 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Skilled Nursing Facility 314000000X |
| Practice location | 36 Battle Born Way, Sparks, NV 89431 |
| Practice phone | 775-827-2955 |
| Mailing address | 206 N 2100 W, Salt Lake City, UT 84116 |
| Enumerated | November 28, 2018 |
| Last updated | August 17, 2022 |
| Authorized official | Charles Kirton, Ceo/Chairman |
| Other names | Northern Nevada State Veterans Home |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Skilled Nursing Facility primary | 314000000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.