Organization Active NPI

Ahwatukee Comfort Care LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1023690872
Registry record updated Jun 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
AHWATUKEE COMFORT CARE LLC
Practice address
12813 S 40TH PL
Phoenix, AZ 85044-3904
Phone
(480) 779-0288
NPI assigned
Apr 22, 2021
Last updated
Jun 26, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2021

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

Authorized official

Name
Rosita Rodas
Title
Owner
Phone
(702) 540-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

12813 S 40TH PL
Phoenix, AZ 85044-3904

Mailing address

12813 S 40TH PL
Phoenix, AZ 85044-3904

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1624665600000",
    "number": "1023690872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12813 S 40TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12813 S 40TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850443904",
            "telephone_number": "480-779-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AHWATUKEE COMFORT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-06-26",
        "certification_date": "2021-06-26",
        "status": "A",
        "authorized_official_last_name": "RODAS",
        "authorized_official_first_name": "ROSITA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "702-540-1173"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 26, 2021; 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.