NDG Adult Care Home LLC

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

AL7288H Issued in AZ

Legal business name

NDG ADULT CARE HOME LLC

Practice address

1106 W 9TH St
Tempe, AZ 85281-5304

Phone

(480) 894-2902

NPI assigned

May 4, 2017

Organization subpart

No

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

Authorized official

Name

Nellie Galit

Title

Licensee

Phone

(480) 894-2902

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493856000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493856000000",
    "number": "1184150484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1106 W 9TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815304",
            "telephone_number": "480-894-2902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 W 9TH ST",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852815304",
            "telephone_number": "480-894-2902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NDG ADULT CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-04",
        "last_updated": "2017-05-04",
        "status": "A",
        "authorized_official_last_name": "GALIT",
        "authorized_official_first_name": "NELLIE",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "480-894-2902"
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "AZ",
            "license": "AL7288H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Disabilities Residential Treatment Facility in Tempe, AZ
• Providers in Tempe, 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 May 4, 2017; 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.