Organization Active NPI

Zahra C. M. Plagens

  • Assisted Living Facility (Mental Illness)
  • Peoria, AZ
National Provider Identifier
1164576724
Registry record updated Sep 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
License
BH2522 Issued in AZ
Legal business name
ZAHRA C. M. PLAGENS
Practice address
7445 W Cheryl Dr
Peoria, AZ 85345-6722
Phone
(623) 878-0463
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2008

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

Authorized official

Name
Mrs. Zahra Chebet PlagensNPI 1265585269
Title
Administrator
Phone
(623) 878-0463

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X BH2522 AZ Primary

Addresses

Primary practice location

7445 W Cheryl Dr
Peoria, AZ 85345-6722

Mailing address

7445 W Cheryl Dr
Peoria, AZ 85345-6722
Phone (623) 878-0463

Other identifiers 2

IdentifierTypeStateIssuer
907305MedicaidAZ
BH2522OtherAZSTATE LICENSE FOSTER CARE

Other names 1

  • Mutwol Family Adult Therapeutic Foster Care Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221609600000",
    "number": "1164576724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7445 W CHERYL DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456722",
            "telephone_number": "623-878-0463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7445 W CHERYL DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853456722",
            "telephone_number": "623-878-0463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ZAHRA C. M. PLAGENS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-09-17",
        "status": "A",
        "authorized_official_last_name": "PLAGENS",
        "authorized_official_first_name": "ZAHRA",
        "authorized_official_middle_name": "CHEBET",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "623-878-0463",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH2522",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "907305",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE FOSTER CARE",
            "identifier": "BH2522",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mutwol Family Adult Therapeutic Foster Care",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2008; 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.