NPIMap

Organization Active NPI

Extended Care Portfolio Multistate Pool Tenant, LLC

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1083884571
Registry record updated Mar 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC
Practice address
9045 W Athens St
Peoria, AZ 85382-8155
Phone
(623) 876-8300
NPI assigned
Mar 11, 2008
Organization subpart
Yes
Parent organization
HJ SIMS INVESTMENTS, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 11, 2008

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

Authorized official

Name
Mr. Michael Garbers
Title
Vice President, HJ Sims Investments
Phone
(407) 363-4493

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9045 W Athens St
Peoria, AZ 85382-8155

Mailing address

7575 Dr Phillips Blvd
Suite 225
Orlando, FL 32819-7216

National Provider Directory

National Provider Directory
Tax ID family
Extended Care Portfolio Tenant LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9045 W Athens St
Peoria, AZ 85382
Phone (623) 738-0613

NPI Registry JSON

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

{
    "created_epoch": "1205193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205193600000",
    "number": "1083884571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7575 DR PHILLIPS BLVD",
            "address_2": "SUITE 225",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328197216"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9045 W ATHENS ST",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853828155",
            "telephone_number": "623-876-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXTENDED CARE PORTFOLIO MULTISTATE POOL TENANT, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HJ SIMS INVESTMENTS, LLC",
        "enumeration_date": "2008-03-11",
        "last_updated": "2008-03-11",
        "status": "A",
        "authorized_official_last_name": "GARBERS",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "VICE PRESIDENT, HJ SIMS INVESTMENTS",
        "authorized_official_telephone_number": "407-363-4493",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2008; 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.