Active NPI
Compassionate Care Centers LLC
- Family Medicine Physician
- Glendale, AZ
National Provider Identifier
1083088173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- COMPASSIONATE CARE CENTERS LLC
- Practice address
- 4494 W Peoria Ave
Suite 115a
Glendale, AZ 85302-2023 - Phone
- (623) 878-5800
- Fax
- (623) 773-2274
- NPI assigned
- Nov 30, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Allyson Kristina Morgan
- Title
- Owner
- Phone
- (602) 695-7392
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Adolescent Medicine (Family Medicine) Physician | 207QA0000X | |||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Adult Medicine Physician | 207QA0505X | |||
| Geriatric Medicine (Family Medicine) Physician | 207QG0300X |
Addresses
Primary practice location
4494 W Peoria Ave
Suite 115a
Glendale, AZ 85302-2023
Mailing address
4494 W Peoria Ave
Suite 115a
Glendale, AZ 85302-2023
Phone (623) 878-5800
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448841600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455062400000",
"number": "1083088173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4494 W PEORIA AVE",
"address_2": "SUITE 115A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022023",
"telephone_number": "623-878-5800",
"fax_number": "623-773-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4494 W PEORIA AVE",
"address_2": "SUITE 115A",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853022023",
"telephone_number": "623-878-5800",
"fax_number": "623-773-2274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPASSIONATE CARE CENTERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-11-30",
"last_updated": "2016-02-10",
"status": "A",
"authorized_official_last_name": "MORGAN",
"authorized_official_first_name": "ALLYSON",
"authorized_official_middle_name": "KRISTINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "602-695-7392",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adolescent Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0401X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QA0505X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Adult Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "207QG0300X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Family Medicine, Geriatric Medicine",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.