NPIMap

Organization Active NPI

Medical Management Systems, Inc

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1013132919
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH-3178 Issued in AZ
Legal business name
MEDICAL MANAGEMENT SYSTEMS, INC
Practice address
8937 W Sheridan St
Phoenix, AZ 85037-3613
Phone
(623) 907-8858
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Carlos N. Jorge, MBA
Title
President, Ceo
Phone
(602) 909-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH-3178 AZ Primary

Addresses

Primary practice location

8937 W Sheridan St
Phoenix, AZ 85037-3613

Mailing address

8937 W Sheridan St
Phoenix, AZ 85037-3613
Phone (623) 907-8858

Other identifiers 1

IdentifierTypeStateIssuer
698441MedicaidAZ

Other names 1

  • SHERIDAN GARDEN ASSISTED LIVING HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Management Systems Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013132919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8937 W SHERIDAN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373613",
            "telephone_number": "623-907-8858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8937 W SHERIDAN ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850373613",
            "telephone_number": "623-907-8858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT SYSTEMS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "602-909-9026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-3178",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "698441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERIDAN GARDEN ASSISTED LIVING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Aug 22, 2020; 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.