Garden Terrace, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-5896 Issued in AZ

Legal business name

GARDEN TERRACE, LLC

Practice address

1100 S Chaparral Cir
Sierra Vista, AZ 85635-4204

Phone

(520) 459-0005

Fax

(520) 459-8461

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Daniel Parrotta

Title

Administrator - Owner

Phone

(520) 459-0005

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Garden Terrace Assisted Living Doing business as

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114143294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 S CHAPARRAL CIR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354204",
            "telephone_number": "520-459-0005",
            "fax_number": "520-459-8461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 S CHAPARRAL CIR",
            "city": "SIERRA VISTA",
            "state": "AZ",
            "postal_code": "856354204",
            "telephone_number": "520-459-0005",
            "fax_number": "520-459-8461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN TERRACE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PARROTTA",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "ADMINISTRATOR - OWNER",
        "authorized_official_telephone_number": "520-459-0005",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-5896",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "164900",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Terrace Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Cynthia G. Funckes, M.D.
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• James Travis Furry, D.C.
• Robin Lynn Gagnon
• Mario Beltran Garcia, LCSW
• Bailey Garver
• Shawna M Gasca, LPN
• Monica Gasper, LPC
• Shirley Gattis, MAED
• Gayle Y. Lundtvedt, D.M.D., P.C.

• Assisted Living Facility in Sierra Vista, AZ
• Providers in Sierra Vista, 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 Aug 22, 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.