Organization Active NPI

Plaza Healthcare Inc

  • Skilled Nursing Facility
  • Scottsdale, AZ
National Provider Identifier
1063410652
Registry record updated Jul 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI336 Issued in AZ
Legal business name
PLAZA HEALTHCARE INC
Practice address
1475 N Granite Reef Road
Scottsdale, AZ 85257
Phone
(480) 990-1904
Fax
(480) 946-6286
NPI assigned
Jul 8, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2012

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

Authorized official

Name
Michael R Schwartz
Title
Vice President
Phone
(818) 905-8000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI336 AZ Primary

Addresses

Primary practice location

1475 N Granite Reef Road
Scottsdale, AZ 85257

Mailing address

1475 N Granite Reef Road
Scottsdale, AZ 85257
Phone (480) 990-1904

Other identifiers 1

IdentifierTypeStateIssuer
355752MedicaidAZ

Other names 1

  • Plaza Healthcare Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343606400000",
    "number": "1063410652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 N GRANITE REEF ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-990-1904",
            "fax_number": "480-946-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 N GRANITE REEF ROAD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "85257",
            "telephone_number": "480-990-1904",
            "fax_number": "480-946-6286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLAZA HEALTHCARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-08",
        "last_updated": "2012-07-30",
        "status": "A",
        "authorized_official_last_name": "SCHWARTZ",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "818-905-8000"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "355752",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Plaza Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2012; 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.