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HEALTHY LIFESTYLE RESIDENCE, LLC
NPI 1780903872
Assisted Living Facility in Reno, NV

Active since May 27, 2010
3990 LAKESIDE DR, RENO, NV 89509(775) 828-5151(775) 828-5152 Get Directions Write a Review

NPPES record last updated: May 27, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Healthy Lifestyle Residence, Llc NPPES

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

HEALTHY LIFESTYLE RESIDENCE, LLC (NPI 1780903872) is a healthcare organization registered as an assisted living facility in Reno, Nevada and active in the NPI registry since May 2010. The organization lists Felicisima A. Graham, Administrator, as its authorized official.

NPPES Registry Identity

NPI1780903872
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameHEALTHY LIFESTYLE RESIDENCE, LLC
Location Address3990 LAKESIDE DRReno, NV 89509-5336
Mailing Address3990 Lakeside DrReno, NV 89509-5336 · (775) 828-5151 · Fax (775) 828-5152
Phone(775) 828-5151
Fax(775) 828-5152
Organization SubpartNo
Authorized OfficialFelicisima A. GrahamAdministrator · (775) 828-5151
Enumeration DateMay 27, 2010
✔ NPI 1780903872 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NV · 5880AGC-0
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
3990 LAKESIDE DR, Reno, NV 89509
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Other Identifiers 1

Other9005055957NV · Atypical Provider Identifier Nevada Division Of Healthcare Financing And Policy

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 HEART GROUP HOME CARE LLC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
3990 LAKESIDE DR
RENO, NV 89509
Washoe County (775) 453-2085

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 Healthy Lifestyle Residence, LLC's NPI number?

The NPI number for Healthy Lifestyle Residence, LLC is 1780903872. It was assigned to this organization in the NPPES registry on May 27, 2010.

Where is Healthy Lifestyle Residence, LLC located?

Healthy Lifestyle Residence, LLC is located at 3990 Lakeside Dr, Reno, NV 89509. The listed phone number is (775) 828-5151.

What is Healthy Lifestyle Residence, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Healthy Lifestyle Residence, LLC was last updated on May 27, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.