Organization Active NPI

Orchid Residential Inc.

  • Assisted Living Facility
  • Peoria, AZ
National Provider Identifier
1104392349
Registry record updated Oct 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ORCHID RESIDENTIAL INC.
Practice address
9580 W Orchid LN
Peoria, AZ 85345-7719
Phone
(623) 440-2428
Fax
(623) 234-1713
NPI assigned
Oct 15, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2018

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

Authorized official

Name
Mavu Jaricha
Title
Administrator
Phone
(623) 313-0827

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

9580 W Orchid LN
Peoria, AZ 85345-7719

Mailing address

9305 W Cordes Rd
Tolleson, AZ 85353-1506
Phone (623) 313-0827

Other identifiers 1

IdentifierTypeStateIssuer
432938MedicaidAZ

Other names 1

  • Orchid Residential Care 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": "1539561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539561600000",
    "number": "1104392349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9305 W CORDES RD",
            "city": "TOLLESON",
            "state": "AZ",
            "postal_code": "853531506",
            "telephone_number": "623-313-0827"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9580 W ORCHID LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853457719",
            "telephone_number": "623-440-2428",
            "fax_number": "623-234-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORCHID RESIDENTIAL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-15",
        "last_updated": "2018-10-15",
        "status": "A",
        "authorized_official_last_name": "JARICHA",
        "authorized_official_first_name": "MAVU",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-313-0827"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "432938",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orchid Residential Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 15, 2018; 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.