Organization Active NPI

The Garnet at Casa Grande

  • Assisted Living Facility
  • Casa Grande, AZ
National Provider Identifier
1174667695
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALC-4407 Issued in AZ
Legal business name
THE GARNET AT CASA GRANDE
Practice address
510 E 8TH St
Casa Grande, AZ 85222-4072
Phone
(520) 876-4200
NPI assigned
Feb 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Jon Harder
Title
Ceo President
Phone
(503) 485-4600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC-4407 AZ Primary

Addresses

Primary practice location

510 E 8TH St
Casa Grande, AZ 85222-4072

Mailing address

PO Box 3006
Salem, OR 97302-0006
Phone (503) 485-4600

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1174667695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3006",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973020006",
            "telephone_number": "503-485-4600",
            "fax_number": "503-485-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 E 8TH ST",
            "city": "CASA GRANDE",
            "state": "AZ",
            "postal_code": "852224072",
            "telephone_number": "520-876-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GARNET AT CASA GRANDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDER",
        "authorized_official_first_name": "JON",
        "authorized_official_title_or_position": "CEO PRESIDENT",
        "authorized_official_telephone_number": "503-485-4600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-4407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Casa Grande, AZ

Sources for this page

  • 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.