Healthy Lifestyle Residence, Llc

LBN: Healthy Lifestyle Residence, Llc
Healthy Lifestyle Residence, Llc is an health care organization with primary practice located at 3990 Lakeside Dr , Reno NV 89509-5336. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Assisted Living Facility, which is considered as the primary health care specialty. Healthy Lifestyle Residence, Llc can be contacted via phone (775) 828-5151, or through Graham, Felicisima A. via phone (775) 828-5151.

Contact Information

Primary practice address
3990 Lakeside Dr Reno NV 89509-5336
Phone: (775) 828-5151
Fax: (775) 828-5152
Website:
Map and Directions
Authorized official contact:
Name: Graham, Felicisima A. RFA
Phone: (775) 828-5151

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Assisted Living Facility 310400000X 5880AGC-0 Nevada

Profile Details

NPI number 1780903872
LBN Legal business name Healthy Lifestyle Residence, Llc
DBA Doing business as
Authorized official Graham, Felicisima A. RFA
Entity Organization
Organization subpart 1 No
Enumeration date May 27th, 2010
Last updated May 27th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780903872 NPPES
Nevada Other 9005055957 ATYPICAL PROVIDER IDENTIFIER NEVADA DIVISION OF HEALTHCARE FINANCING AND POLICY

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