NPIMap

Organization Active NPI

Sue's Place LLC

Doing business as Sue's Place

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1013384510
Registry record updated Sep 1, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9737H Issued in AZ
Legal business name
SUE'S PLACE LLC
Doing business as
Sue's Place
Practice address
13230 N 7TH Dr
Phoenix, AZ 85029-1805
Phone
(602) 795-6276
Fax
(602) 926-2404
NPI assigned
Sep 1, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2015

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

Authorized official

Name
Ms. Mahy Innabi, MBA
Title
Owner/Director
Phone
(602) 795-6276

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9737H AZ Primary

Addresses

Primary practice location

13230 N 7TH Dr
Phoenix, AZ 85029-1805

Mailing address

13230 N 7TH Dr
Phoenix, AZ 85029-1805
Phone (602) 795-6276

Other names 1

  • Sue's Place Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1013384510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13230 N 7TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291805",
            "telephone_number": "602-795-6276",
            "fax_number": "602-926-2404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13230 N 7TH DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850291805",
            "telephone_number": "602-795-6276",
            "fax_number": "602-926-2404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "INNABI",
        "authorized_official_first_name": "MAHY",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "602-795-6276",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9737H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sue's Place",
            "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 Sep 1, 2015; 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.