Provider Demographics
NPI:1144194226
Name:ALOHA AND SHARON LEGACY
Entity type:Organization
Organization Name:ALOHA AND SHARON LEGACY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARCUS
Authorized Official - Middle Name:
Authorized Official - Last Name:RAUDSZUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-521-7810
Mailing Address - Street 1:1800 PRINCE WAY
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-2222
Mailing Address - Country:US
Mailing Address - Phone:248-521-7810
Mailing Address - Fax:
Practice Address - Street 1:1800 PRINCE WAY
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89503-2222
Practice Address - Country:US
Practice Address - Phone:248-521-7810
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-02
Last Update Date:2025-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No3104A0630XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Behavioral Disturbances
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home