Organization Active NPI

Armada Group-Az, LLC

  • Physical Disabilities Residential Treatment Facility
  • Mesa, AZ
National Provider Identifier
1073147195
Registry record updated Feb 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
ARMADA GROUP-AZ, LLC
Practice address
1612 E. Knoll Circle
Mesa, AZ 85203
Phone
(661) 805-3254
Fax
(480) 504-5961
NPI assigned
Feb 27, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2020

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

Authorized official

Name
Ms. Laura Lee Kuster
Title
Ceo
Phone
(661) 805-3254

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

1612 E. Knoll Circle
Mesa, AZ 85203

Mailing address

1612 E. Knoll Circle
Mesa, AZ 85203
Phone (661) 805-3254

Other names 1

  • Armada Care Homes Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1582761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582761600000",
    "number": "1073147195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1612 E. KNOLL CIRCLE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "661-805-3254",
            "fax_number": "480-504-5961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1612 E. KNOLL CIRCLE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "85203",
            "telephone_number": "661-805-3254",
            "fax_number": "480-504-5961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARMADA GROUP-AZ, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-27",
        "last_updated": "2020-02-27",
        "certification_date": "2020-02-27",
        "status": "A",
        "authorized_official_last_name": "KUSTER",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "661-805-3254",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Armada Care Homes",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2020; 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.