Mother Teresa'S Senior Care Home LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9404H Issued in AZ

Legal business name

MOTHER TERESA'S SENIOR CARE HOME LLC

Practice address

9742 E Gelding Dr
Scottsdale, AZ 85260-3883

Phone

(480) 614-5410

Fax

(480) 614-5410

NPI assigned

Nov 20, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Raquel Jackson

Title

Manager

Phone

(916) 502-0459

Specialties & licenses 1

Addresses

Other names 1

• Mother Teresa's Senior Care Home Other name

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

{
    "created_epoch": "1416441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416441600000",
    "number": "1124425145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9742 E GELDING DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603883",
            "telephone_number": "480-614-5410",
            "fax_number": "480-614-5410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9742 E GELDING DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603883",
            "telephone_number": "480-614-5410",
            "fax_number": "480-614-5410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOTHER TERESA'S SENIOR CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-20",
        "last_updated": "2014-11-20",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "916-502-0459",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9404H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mother Teresa's Senior Care Home",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sara S Mosley, DDS
• Kyle Joseph Moslow, DC
• Adyr A Moss, M.D.
• Joseph Anthony Moss, DO
• Samantha Jo Moss, CNC
• Motion Performance Group Scottsdale PLLC
• Motion Performance Medical Group
• Joseph D Motto, M.D.
• Motus Rehab and Performance LLC
• Dawn Marie Mougel, FNP

• Assisted Living Facility in Scottsdale, AZ
• Providers in Scottsdale, 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 Nov 20, 2014; 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.