Organization Active NPI

Rose Villa Assisted Living Home I

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1114513074
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ROSE VILLA ASSISTED LIVING HOME I
Practice address
5240 W Desert Hollow Dr
Phoenix, AZ 85083-4404
Phone
(480) 299-0926
Fax
(623) 215-7546
NPI assigned
Dec 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Mrs. Monica Casalean
Title
Owner/Manager
Phone
(480) 299-0926

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5240 W Desert Hollow Dr
Phoenix, AZ 85083-4404

Mailing address

5240 W Desert Hollow Dr
Phoenix, AZ 85083-4404
Phone (480) 299-0926

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1114513074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5240 W DESERT HOLLOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850834404",
            "telephone_number": "480-299-0926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5240 W DESERT HOLLOW DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850834404",
            "telephone_number": "480-299-0926",
            "fax_number": "623-215-7546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSE VILLA ASSISTED LIVING HOME I",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "CASALEAN",
        "authorized_official_first_name": "MONICA",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "480-299-0926",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.