NPIMap

Organization Active NPI

Laveen School District #59

  • Pediatric Skilled Nursing Facility
  • Laveen, AZ
National Provider Identifier
1184929747
Registry record updated Jan 17, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Skilled Nursing FacilityTaxonomy code 3140N1450X
License
LP036157 Issued in AZ
Legal business name
LAVEEN SCHOOL DISTRICT #59
Practice address
9401 S 51St Ave
Laveen, AZ 85339-2710
Phone
(602) 237-9100
NPI assigned
Jan 12, 2011
Last updated
Jan 17, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2011

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

Authorized official

Name
Mrs. Vicki Canisales, R.N.
Title
Administrative Assistant
Phone
(602) 237-9100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Skilled Nursing Facility 3140N1450X LP036157 AZ Primary

Addresses

Primary practice location

9401 S 51St Ave
Laveen, AZ 85339-2710

Mailing address

9401 S 51St Ave
Laveen, AZ 85339-2710
Phone (602) 237-9100

National Provider Directory

National Provider Directory
Tax ID family
Laveen Elementary School District 596 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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": "1294790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295222400000",
    "number": "1184929747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9401 S 51ST AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392710",
            "telephone_number": "602-237-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9401 S 51ST AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392710",
            "telephone_number": "602-237-9100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAVEEN SCHOOL DISTRICT #59",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-12",
        "last_updated": "2011-01-17",
        "status": "A",
        "authorized_official_last_name": "CANISALES",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "ADMINISTRATIVE ASSISTANT",
        "authorized_official_telephone_number": "602-237-9100",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "3140N1450X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility, Nursing Care, Pediatric",
            "state": "AZ",
            "license": "LP036157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2011; 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.