Individual provider Active NPI

Rochelle Celedonia Amurao Casais, RN,MSN

  • Assisted Living Facility
  • Tempe, AZ
National Provider Identifier
1013474766
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL10811H Issued in AZ
Practice address
6208 S Parkside Dr
Tempe, AZ 85283-2639
Phone
(480) 687-9392
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL10811H AZ Primary

Addresses

Primary practice location

6208 S Parkside Dr
Tempe, AZ 85283-2639

Mailing address

6208 S Parkside Dr
Tempe, AZ 85283-2639
Phone (480) 512-1770

Other identifiers 1

IdentifierTypeStateIssuer
429758OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
AL10811HAZMDAssisted Living Facility

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1013474766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 S PARKSIDE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832639",
            "telephone_number": "480-512-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 S PARKSIDE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832639",
            "telephone_number": "480-687-9392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASAIS",
        "first_name": "ROCHELLE CELEDONIA",
        "middle_name": "AMURAO",
        "credential": "RN,MSN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10811H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "429758",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; 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.