Angel Care Home

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

ALH-5805 Issued in AZ

Legal business name

ANGEL CARE HOME

Practice address

2231 N 38TH St
Phoenix, AZ 85008-3012

Phone

(602) 286-0718

Fax

(602) 244-1597

NPI assigned

Jun 29, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Judy Yvonne Martinez

Title

Manager

Phone

(602) 286-0718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164629333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083012",
            "telephone_number": "602-286-0718",
            "fax_number": "602-244-1597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2231 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850083012",
            "telephone_number": "602-286-0718",
            "fax_number": "602-244-1597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTINEZ",
        "authorized_official_first_name": "JUDY",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-286-0718",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AZ",
            "license": "ALH-5805",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.