Organization Active NPI

Maria'S Garden Care Home

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1003359068
Registry record updated Nov 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
AL8908H Issued in AZ
Legal business name
MARIA'S GARDEN CARE HOME
Practice address
3646 W Dunlap Ave
Phoenix, AZ 85051-5306
Phone
(480) 823-9292
NPI assigned
Nov 23, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2016

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

Authorized official

Name
Wilfred Soriano
Title
Director
Phone
(480) 823-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X AL8908H AZ Primary

Addresses

Primary practice location

3646 W Dunlap Ave
Phoenix, AZ 85051-5306

Mailing address

4727 E Bell Rd
Suite 45-508
Phoenix, AZ 85032-2308
Phone (480) 823-9292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1479859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1003359068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4727 E BELL RD",
            "address_2": "SUITE 45-508",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322308",
            "telephone_number": "480-823-9292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3646 W DUNLAP AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850515306",
            "telephone_number": "480-823-9292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA'S GARDEN CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-23",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "SORIANO",
        "authorized_official_first_name": "WILFRED",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-823-9292"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "AL8908H",
            "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 Nov 23, 2016; 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.