Organization Active NPI

A&D Care Services LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1114627825
Registry record updated Mar 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
A&D CARE SERVICES LLC
Practice address
9241 W Roma Ave
Phoenix, AZ 85037-0815
Phone
(602) 918-8524
NPI assigned
Mar 9, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2023

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

Authorized official

Name
Doreen Mutabaazi Van Hook, CEO
Title
Owner
Phone
(602) 918-8524

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

9241 W Roma Ave
Phoenix, AZ 85037-0815

Mailing address

9241 W Roma Ave
Phoenix, AZ 85037-0815
Phone (602) 918-8524

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1678320000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678320000000",
    "number": "1114627825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9241 W ROMA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370815",
            "telephone_number": "602-918-8524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9241 W ROMA AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850370815",
            "telephone_number": "602-918-8524"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&D CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-09",
        "last_updated": "2023-03-09",
        "certification_date": "2023-03-09",
        "status": "A",
        "authorized_official_last_name": "VAN HOOK",
        "authorized_official_first_name": "DOREEN",
        "authorized_official_middle_name": "MUTABAAZI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-918-8524",
        "authorized_official_credential": "CEO"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "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 Mar 9, 2023; 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.