Organization Active NPI

Mac Business Management, Inc.

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1174844773
Registry record updated Jun 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALC-7191 Issued in AZ
Legal business name
MAC BUSINESS MANAGEMENT, INC.
Practice address
2802 E Juniper Ave
Phoenix, AZ 85032-2611
Phone
(480) 307-6161
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2010

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

Authorized official

Name
Mr. Mark C McKirahan
Title
Secretary/Treasurer
Phone
(480) 307-6161

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALC-7191 AZ Primary

Addresses

Primary practice location

2802 E Juniper Ave
Phoenix, AZ 85032-2611

Mailing address

2802 E Juniper Ave
Phoenix, AZ 85032-2611
Phone (480) 307-6161

Other names 1

  • Arizona Desert Falls Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D2000333Arizona Desert Falls2802 E Juniper Ave, Phoenix, AZ 85032Certificate of waiverNov 24, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1276732800000",
    "number": "1174844773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2802 E JUNIPER AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322611",
            "telephone_number": "480-307-6161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2802 E JUNIPER AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850322611",
            "telephone_number": "480-307-6161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAC BUSINESS MANAGEMENT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2010-06-17",
        "status": "A",
        "authorized_official_last_name": "MCKIRAHAN",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "SECRETARY/TREASURER",
        "authorized_official_telephone_number": "480-307-6161",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-7191",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arizona Desert Falls",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.