Terra Pointe Care, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

TERRA POINTE CARE, LLC

Practice address

5330 W Union Hills Dr
Glendale, AZ 85308-1311

Phone

(602) 899-5330

Fax

(602) 714-6551

NPI assigned

Nov 27, 2018

Organization subpart

No

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

Authorized official

Name

Candice Fine

Title

Authorized Agent

Phone

(480) 244-9173

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Terra Pointe Memory Care Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543276800000",
    "number": "1144790601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1930 N ARBOLEDA STE 215",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852133217",
            "telephone_number": "480-244-9173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5330 W UNION HILLS DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853081311",
            "telephone_number": "602-899-5330",
            "fax_number": "602-714-6551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRA POINTE CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-27",
        "last_updated": "2018-11-27",
        "status": "A",
        "authorized_official_last_name": "FINE",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_title_or_position": "AUTHORIZED AGENT",
        "authorized_official_telephone_number": "480-244-9173"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "441994",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terra Pointe Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Anna Tennal, OTD, OTR/L, PYT-C
• Nathan Palmer Tenney, D.M.D.
• Robyn Renee Tennyson, LCSW
• Sally Ann Teodoro, MCD
• Stephen F Teodoro, AU.D.
• Kehyana Terrell
• Luba Terrell, CNM
• Terros Inc
• Terros Inc
• Terros Inc

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, 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 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.