NPIMap

Organization Active NPI

Assisted Living at Bloomfield Manor Inc.

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1154669448
Registry record updated Jan 22, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL4808H Issued in AZ
Legal business name
ASSISTED LIVING AT BLOOMFIELD MANOR INC.
Practice address
5815 E Aire Libre Ave
Scottsdale, AZ 85254-9221
Phone
(480) 922-3299
NPI assigned
Jan 22, 2013
Last updated
Jan 22, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2013

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

Authorized official

Name
Mr. Zanely Roxas Zaragoza
Title
Operations Manager
Phone
(480) 922-3299

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL4808H AZ Primary

Addresses

Primary practice location

5815 E Aire Libre Ave
Scottsdale, AZ 85254-9221

Mailing address

6501 E Greenway Pkwy
103-505
Scottsdale, AZ 85254-2065
Phone (480) 580-1650

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living at Bloomfield Manor2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1358812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358812800000",
    "number": "1154669448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "103-505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "480-580-1650",
            "fax_number": "480-607-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5815 E AIRE LIBRE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852549221",
            "telephone_number": "480-922-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING AT BLOOMFIELD MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-22",
        "last_updated": "2013-01-22",
        "status": "A",
        "authorized_official_last_name": "ZARAGOZA",
        "authorized_official_first_name": "ZANELY",
        "authorized_official_middle_name": "ROXAS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "480-922-3299",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL4808H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.