NPIMap

Organization Active NPI

Next Level Adult Developmental Care

  • Child Intellectual and/or Developmental Disabilities Respite Care
  • Phoenix, AZ
National Provider Identifier
1003138595
Registry record updated Jul 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child Intellectual and/or Developmental Disabilities Respite CareTaxonomy code 385HR2060X
License
04942 Issued in AZ
Legal business name
NEXT LEVEL ADULT DEVELOPMENTAL CARE
Practice address
2324 W Carson Rd
Phoenix, AZ 85041-6408
Phone
(602) 790-7817
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Porchel Dontae Patterson
Title
Director
Phone
(602) 790-7817

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Child Intellectual and/or Developmental Disabilities Respite Care 385HR2060X 04942 AZ Primary

Addresses

Primary practice location

2324 W Carson Rd
Phoenix, AZ 85041-6408

Mailing address

2324 W Carson Rd
Phoenix, AZ 85041-6408
Phone (602) 790-7817

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279152000000",
    "number": "1003138595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2324 W CARSON RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416408",
            "telephone_number": "602-790-7817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2324 W CARSON RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850416408",
            "telephone_number": "602-790-7817"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NEXT LEVEL ADULT DEVELOPMENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-07-15",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "PORCHEL",
        "authorized_official_middle_name": "DONTAE",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-790-7817",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "385HR2060X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child",
            "state": "AZ",
            "license": "04942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.