MAR VON SENIOR CARE
NPI 1104974500
Custodial Care Facility - Adult Care Home in Reno, NV

Q: What is Mar Von Senior Care's NPI number?

The NPI number for Mar Von Senior Care is 1104974500. It was assigned to this organization in the NPPES registry on January 8, 2007.

Q: What is Mar Von Senior Care's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since January 08, 2007

300 LA RUE AVE, RENO, NV 89509(775) 323-4696(775) 626-4605 Get Directions Write a Review

NPPES record last updated: February 16, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mar Von Senior Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MAR VON SENIOR CARE (NPI 1104974500) is a healthcare organization registered as an adult care home in Reno, Nevada and active in the NPI registry since January 2007. The organization lists Theresa Cruz Basallo, Administrator, as its authorized official.

NPPES Registry Identity

NPI1104974500

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameMAR VON SENIOR CARE

Location Address300 LA RUE AVEReno, NV 89509-2014

Mailing Address4816 Crestside DrSparks, NV 89436-3667 · (775) 323-4696 · Fax (775) 626-4605

Phone(775) 323-4696

Fax(775) 626-4605

Organization SubpartNo

Authorized OfficialTheresa Cruz BasalloAdministrator · (775) 323-4696

Enumeration DateJanuary 8, 2007

Last NPPES UpdateFebruary 16, 2016

✔ NPI 1104974500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NV · 285AGC12

Definition

A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.

300 LA RUE AVE, Reno, NV 89509

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Other Identifiers 1

Medicaid005716019NV

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GOLDEN YEARS CASTLE PROPERTY HOLDINGS LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

300 LA RUE AVE
RENO, NV 89509

Washoe County (775) 240-9305

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mar Von Senior Care's NPI number?

The NPI number for Mar Von Senior Care is 1104974500. It was assigned to this organization in the NPPES registry on January 8, 2007.

Where is Mar Von Senior Care located?

Mar Von Senior Care is located at 300 La Rue Ave, Reno, NV 89509. The listed phone number is (775) 323-4696.

What is Mar Von Senior Care's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Mar Von Senior Care was last updated on February 16, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.