Avondale Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

AVONDALE ASSISTED LIVING HOME

Practice address

13514 W Monterey Way
Avondale, AZ 85392-6792

Phone

(480) 343-8045

NPI assigned

Jun 15, 2022

Organization subpart

No

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

Authorized official

Name

Ma Teresita Patino Isiderio

Title

Administrator

Phone

(480) 343-8045

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1655251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1063142644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13514 W MONTEREY WAY",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926792",
            "telephone_number": "480-343-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13514 W MONTEREY WAY",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853926792",
            "telephone_number": "480-343-8045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVONDALE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-15",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "ISIDERIO",
        "authorized_official_first_name": "MA TERESITA",
        "authorized_official_middle_name": "PATINO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-343-8045"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrielle Avenetti
• Avon Dental PLLC
• Avon Health LLC
• Avon Surgical Centers, LLC
• Avondale Accident & Pain Chiropractic Center
• Avondale Assisted Living LLC
• Avondale Chiropractic Clinic
• Avondale Chiropractic Solutions, LLC
• Avondale Dental Partners LLC
• Avondale Elementary School District

• Assisted Living Facility in Avondale, AZ
• Providers in Avondale, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.