Organization Active NPI

Carefree Manor Assisted Living LLC

  • Physical Disabilities Residential Treatment Facility
  • Carefree, AZ
National Provider Identifier
1023658127
Registry record updated Jan 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
CAREFREE MANOR ASSISTED LIVING LLC
Doing business as
Carefree Manor Assisted Living LLC
Practice address
7886 E Breathless Dr
Carefree, AZ 85377
Phone
(623) 698-2322
NPI assigned
Jan 7, 2020
Last updated
Jan 7, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2020

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

Authorized official

Name
Lucy Angelina Carrasco, OWNERNPI 1215430814
Title
Admimistrator
Phone
(623) 698-2322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

7886 E Breathless Dr
Carefree, AZ 85377

Mailing address

PO Box 910
Carefree, AZ 85377-0910
Phone (623) 698-2322

Other names 1

  • CAREFREE MANOR ASSISTED LIVING LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL angiecarrasco@msn.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578355200000",
    "number": "1023658127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853770910",
            "telephone_number": "623-698-2322",
            "fax_number": "480-595-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7886 E BREATHLESS DR",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "85377",
            "telephone_number": "623-698-2322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAREFREE MANOR ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-07",
        "last_updated": "2020-01-07",
        "certification_date": "2020-01-07",
        "status": "A",
        "authorized_official_last_name": "CARRASCO",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "ANGELINA",
        "authorized_official_title_or_position": "ADMIMISTRATOR",
        "authorized_official_telephone_number": "623-698-2322",
        "authorized_official_credential": "OWNER"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "angiecarrasco@msn.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "7886 e breathless dr",
            "address_2": "910",
            "city": "CAREFREE",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85377",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "CAREFREE MANOR ASSISTED LIVING LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Carefree, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.