Casa de Angeles Assisted Living Inc.
Organization Active NPI Assisted Living Facility · Pearce, AZ
NPI 1003189754 · NPPES record last updated Apr 11, 2022
Key facts
- NPI
- 1003189754
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Assisted Living Facility 310400000X
- License
- AL8631H (AZ)
- Legal business name
- CASA DE ANGELES ASSISTED LIVING INC.
- Practice address
- 457 N. Ironwood CT.
Pearce, AZ 85625 - Phone
- (520) 826-4065
- Fax
- (520) 826-4065
- NPI assigned
- Feb 10, 2012
- Organization subpart
- No
Authorized official
- Name
- Mrs. Iliana Lara
- Title
- Co-Owner
- Phone
- (520) 873-8419
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL8631H | AZ | Yes |
Addresses
Primary practice location
457 N. Ironwood CT.
Pearce, AZ 85625
Mailing address
P.O. Box 726
Pearce, AZ 85625
Phone (520) 826-4065
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 682106 | Medicaid | AZ |
Other names
- Casa de Angeles Assisted Living
Other providers in Pearce, AZ
- Cyndi G Anthony
- Michael J. Bricker
- Jennifer Ann Campbell
- Talena Wilson Debaun
- Dr. Troy L Garey DMD, PC
- I Smile at Pearce LLC
- Lazy Horse Ranch
- Jenna Lisa Schaa
All providers in Pearce, AZ · Assisted Living Facility in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 11, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.