Organization Active NPI

Max Care

  • Assisted Living Facility
  • Tempe, AZ
National Provider Identifier
1053053975
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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

Updated by the provider on Apr 25, 2022

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
SLH10363OtherAZSOBER LIVING HOME

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.