Doc'S Place LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

DOC'S PLACE LLC

Practice address

1722 E Tamar Rd
Phoenix, AZ 85086-8454

Phone

(623) 233-4488

Fax

(623) 240-2302

NPI assigned

Nov 27, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Joshua C Brimhall

Title

Director

Phone

(480) 205-5545

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606435200000",
    "number": "1083218317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1722 E TAMAR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850868454",
            "telephone_number": "623-233-4488",
            "fax_number": "623-240-2302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1722 E TAMAR RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850868454",
            "telephone_number": "623-233-4488",
            "fax_number": "623-240-2302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC'S PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-27",
        "last_updated": "2020-11-27",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "BRIMHALL",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "480-205-5545",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. HEALTH SERVICES LICENSE",
            "identifier": "AL11222H",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "081226",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard S Dobrusin, D.O.
• Dana Dobson
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• Doc Tracey Inc
• Stephanie J Dockins, NP
• Doctor After Dark, PLLC
• Doctor on Call Corp
• Tasneem Doctor, ED.D.
• Gregory Dodaro

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

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