Montelena Assisted Living and Memory Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MONTELENA ASSISTED LIVING AND MEMORY CARE, LLC

Practice address

20174 E Sonoqui Blvd
Queen Creek, AZ 85142-6290

Phone

(480) 278-1882

NPI assigned

Nov 8, 2017

Organization subpart

No

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

Authorized official

Name

Brady Garrard

Title

Manager

Phone

(480) 278-1882

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1510099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510099200000",
    "number": "1144733536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20174 E SONOQUI BLVD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20174 E SONOQUI BLVD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851426290",
            "telephone_number": "480-278-1882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTELENA ASSISTED LIVING AND MEMORY CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-08",
        "last_updated": "2017-11-08",
        "status": "A",
        "authorized_official_last_name": "GARRARD",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-278-1882"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Queen Creek, AZ
• Providers in Queen Creek, 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 8, 2017; 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.