NPIMap

Organization Active NPI

Medical Management Systems, Inc.

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1134418254
Registry record updated Mar 29, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
592233 Issued in AZ
Legal business name
MEDICAL MANAGEMENT SYSTEMS, INC.
Practice address
8322 W Oregon Ave
Glendale, AZ 85305-3302
Phone
(623) 907-4678
Fax
(623) 934-1764
NPI assigned
Mar 29, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2011

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

Authorized official

Name
Dr. Carlos Jorge III, M.D., MBA
Title
President- Ceo
Phone
(623) 907-4678

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 592233 AZ Primary

Addresses

Primary practice location

8322 W Oregon Ave
Glendale, AZ 85305-3302

Mailing address

8322 W Oregon Ave
Glendale, AZ 85305-3302
Phone (623) 907-4678

Other identifiers 3

IdentifierTypeStateIssuer
175515OtherAZ1598980427
867616OtherAZ1538386073
698441OtherAZ1013132919

Other names 1

  • Sheridan Garden Assisted Living Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Management Systems Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1301356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1301356800000",
    "number": "1134418254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8322 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053302",
            "telephone_number": "623-907-4678",
            "fax_number": "623-934-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8322 W OREGON AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853053302",
            "telephone_number": "623-907-4678",
            "fax_number": "623-934-1764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-29",
        "last_updated": "2011-03-29",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_title_or_position": "PRESIDENT- CEO",
        "authorized_official_telephone_number": "623-907-4678",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "M.D., MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "592233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1598980427",
            "identifier": "175515",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1538386073",
            "identifier": "867616",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "1013132919",
            "identifier": "698441",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sheridan Garden Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2011; 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.