Active NPI
Max Care
- Assisted Living Facility
- Tempe, AZ
National Provider Identifier
1053053975
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- MAX CARE
- Practice address
- 843 E Divot Dr
Tempe, AZ 85283-4601 - Phone
- (478) 068-7030
- NPI assigned
- Apr 11, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Xavier Fields
- Title
- Owner
- Phone
- (951) 796-7460
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
843 E Divot Dr
Tempe, AZ 85283-4601
Mailing address
5225 Canyon Crest Dr # 71649
Riverside, CA 92507-6301
Phone (951) 796-7460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SLH10363 | Other | AZ | SOBER LIVING HOME |
National Provider Directory
National Provider DirectoryLocations
5225 Canyon Crest Dr
#71649
Riverside, CA 92507
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649635200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1650844800000",
"number": "1053053975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 CANYON CREST DR # 71649",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925076301",
"telephone_number": "951-796-7460"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "843 E DIVOT DR",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852834601",
"telephone_number": "478-068-7030"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MAX CARE",
"organizational_subpart": "NO",
"enumeration_date": "2022-04-11",
"last_updated": "2022-04-25",
"certification_date": "2022-04-25",
"status": "A",
"authorized_official_last_name": "FIELDS",
"authorized_official_first_name": "XAVIER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "951-796-7460",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOBER LIVING HOME",
"identifier": "SLH10363",
"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 Apr 25, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.