Ventana Lakes

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH2495 Issued in AZ

Legal business name

VENTANA LAKES

Practice address

20067N 110TH Lane
Sun City, AZ 85373-3331

Phone

(623) 376-8411

Fax

(623) 376-8411

NPI assigned

Sep 9, 2008

Organization subpart

Yes

Parent organization

VENTANA LAKES - ASSISTED LIVING HOMEAs reported in NPPES

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

Authorized official

Name

Virginia Pop, CPHT MANAGERNPI 1396801858

Title

Owner Manager

Phone

(623) 376-8411

Specialties & licenses 2

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Virginia Pop, CPHT CERTIFIED PHARM

  • Case Manager/Care Coordinator
  • Sun City, AZ
  • NPI 1396801858
  NPD (past) Authorized official

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1220918400000",
    "number": "1164670691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20067N 110TH LANE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853733331",
            "telephone_number": "623-376-8411",
            "fax_number": "623-376-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20067N 110TH LANE",
            "city": "SUN CITY",
            "state": "AZ",
            "postal_code": "853733331",
            "telephone_number": "623-376-8411",
            "fax_number": "623-376-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VENTANA LAKES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VENTANA LAKES - ASSISTED LIVING HOME",
        "enumeration_date": "2008-09-09",
        "last_updated": "2008-09-09",
        "status": "A",
        "authorized_official_last_name": "POP",
        "authorized_official_first_name": "VIRGINIA",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "623-376-8411",
        "authorized_official_credential": "CPHT MANAGER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH2495",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ID539231",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AHCCCSID539231",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "ALH2495",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Alison Vanvolkenburg
• Zoltan Varadi, D.D.S.
• VB Diversified LLC
• Vera Counseling Collective, PLLC
• Veritas Medical Advisory PLLC
• Gary Eddie Vesely, CRNA
• Warren H Victor, MD
• Olga Nancy Villa, PHSICIAN ASSISTANT

• Assisted Living Facility in Sun City, AZ
• Providers in Sun City, 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 Sep 9, 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.