Organization Active NPI

Dreamcatcher at Paradise Heights

  • Adult Care Home Facility
  • Phoenix, AZ
National Provider Identifier
1063857639
Registry record updated May 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
License
AL7292H Issued in AZ
Legal business name
DREAMCATCHER AT PARADISE HEIGHTS
Practice address
7049 N 23Rd St
Phoenix, AZ 85020-5610
Phone
(602) 410-6671
Fax
(602) 331-1505
NPI assigned
May 8, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2013

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

Authorized official

Name
Martin Meme
Title
Administrative Co-Ordinator
Phone
(480) 314-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X AL7292H AZ Primary

Addresses

Primary practice location

7049 N 23Rd St
Phoenix, AZ 85020-5610

Mailing address

12035 E Mountain View Rd
Scottsdale, AZ 85259-6011
Phone (480) 314-1650

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1063857639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12035 E MOUNTAIN VIEW RD",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852596011",
            "telephone_number": "480-314-1650",
            "fax_number": "480-314-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7049 N 23RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205610",
            "telephone_number": "602-410-6671",
            "fax_number": "602-331-1505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DREAMCATCHER AT PARADISE HEIGHTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MEME",
        "authorized_official_first_name": "MARTIN",
        "authorized_official_title_or_position": "ADMINISTRATIVE CO-ORDINATOR",
        "authorized_official_telephone_number": "480-314-1650"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL7292H",
            "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 May 8, 2013; 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.