Organization Active NPI

Senior Care Specialists

Doing business as Heartland Manor

  • Assisted Living Facility
  • San Tan Valley, AZ
National Provider Identifier
1073929923
Registry record updated Jul 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8596H Issued in AZ
Legal business name
SENIOR CARE SPECIALISTS
Doing business as
Heartland Manor
Practice address
43256 N Jackrabbit Rd
San Tan Valley, AZ 85140-9883
Phone
(480) 540-4052
NPI assigned
Jul 10, 2014
Last updated
Jul 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2014

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

Authorized official

Name
Cathy L. Annunziato
Title
Director of Operations
Phone
(480) 540-4052

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8596H AZ Primary

Addresses

Primary practice location

43256 N Jackrabbit Rd
San Tan Valley, AZ 85140-9883

Mailing address

43256 N Jackrabbit Rd
San Tan Valley, AZ 85140-9883
Phone (480) 540-4052

Other names 1

  • Heartland Manor 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": "1404950400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404950400000",
    "number": "1073929923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "43256 N JACKRABBIT RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409883",
            "telephone_number": "480-540-4052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "43256 N JACKRABBIT RD",
            "city": "SAN TAN VALLEY",
            "state": "AZ",
            "postal_code": "851409883",
            "telephone_number": "480-540-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR CARE SPECIALISTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A",
        "authorized_official_last_name": "ANNUNZIATO",
        "authorized_official_first_name": "CATHY",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "480-540-4052"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8596H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Tan Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2014; 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.