NPIMap

Organization Active NPI

Palm Oasis Assisted Living LLC

  • Assisted Living Facility
  • Gilbert, AZ
National Provider Identifier
1174075352
Registry record updated Nov 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8723H Issued in AZ
Legal business name
PALM OASIS ASSISTED LIVING LLC
Practice address
90 W Baylor LN
Gilbert, AZ 85233-8310
Phone
(480) 278-1215
NPI assigned
Nov 4, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2016

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

Authorized official

Name
Marsha King
Title
Owner
Phone
(480) 278-1215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8723H AZ Primary

Addresses

Primary practice location

90 W Baylor LN
Gilbert, AZ 85233-8310

Mailing address

90 W Baylor LN
Gilbert, AZ 85233-8310
Phone (480) 278-1215

Other identifiers 1

IdentifierTypeStateIssuer
316814MedicaidAZ

Other names 1

  • sheltered cedar Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Palm Oasis Assisted Living LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1478217600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478217600000",
    "number": "1174075352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 W BAYLOR LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852338310",
            "telephone_number": "480-278-1215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 W BAYLOR LN",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852338310",
            "telephone_number": "480-278-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM OASIS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-04",
        "last_updated": "2016-11-04",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "MARSHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-278-1215"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8723H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316814",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "sheltered cedar",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2016; 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.