My Parents Paradise at Montoro Preserve LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MY PARENTS PARADISE AT MONTORO PRESERVE LLC

Practice address

8838 W Brooklite LN
Peoria, AZ 85383-5788

Phone

(623) 217-2078

Fax

(800) 846-8019

NPI assigned

Aug 6, 2024

Organization subpart

No

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

Authorized official

Name

Andrzej Niemyjski

Title

Owner

Phone

(602) 384-4349

Specialties & licenses 1

Addresses

Other names 1

• My Parents Paradise Doing business as

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722902400000",
    "number": "1184454019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8838 W BROOKLITE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8838 W BROOKLITE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853835788",
            "telephone_number": "623-217-2078",
            "fax_number": "800-846-8019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY PARENTS PARADISE AT MONTORO PRESERVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "NIEMYJSKI",
        "authorized_official_first_name": "ANDRZEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-384-4349"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "My Parents Paradise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Isaac Murray
• Kristen Nicole Murray, D.P.M.
• Elizabeth Nicole Murzyn, PT, DPT
• Nathan Musgrove
• My Doc at Home, LLC
• Kaylee Myers
• Roberta Myers
• Taylor Myers, CNM
• Caroline S Nabea, FNP
• Lacey Nabers

• Assisted Living Facility in Peoria, AZ
• Providers in Peoria, 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 Aug 6, 2024; 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.