NPIMap

Organization Active NPI

Eldercare for Life Inc

Doing business as Windmill Ranch

  • Assisted Living Facility
  • Hereford, AZ
National Provider Identifier
1013175512
Registry record updated Dec 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH6517 Issued in AZ
Legal business name
ELDERCARE FOR LIFE INC
Doing business as
Windmill Ranch
Practice address
5605 E Labrador LN
Hereford, AZ 85615-8110
Phone
(520) 803-7181
Fax
(520) 803-9724
NPI assigned
May 30, 2008
Last updated
Dec 16, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2011

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

Authorized official

Name
Nancy Doud
Title
Alf Manager
Phone
(520) 803-1234

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH6517 AZ Primary

Addresses

Primary practice location

5605 E Labrador LN
Hereford, AZ 85615-8110

Mailing address

PO Box 429
Hereford, AZ 85615-0429
Phone (520) 803-1234

Other names 1

  • Windmill Ranch Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Eldercare for Life2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1212105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1323993600000",
    "number": "1013175512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 429",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856150429",
            "telephone_number": "520-803-1234",
            "fax_number": "520-803-6552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5605 E LABRADOR LN",
            "city": "HEREFORD",
            "state": "AZ",
            "postal_code": "856158110",
            "telephone_number": "520-803-7181",
            "fax_number": "520-803-9724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDERCARE FOR LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-30",
        "last_updated": "2011-12-16",
        "status": "A",
        "authorized_official_last_name": "DOUD",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "ALF MANAGER",
        "authorized_official_telephone_number": "520-803-1234"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH6517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Windmill Ranch",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hereford, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2011; 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.