Organization Active NPI

Desert Breeze Assisted Living Inc

  • Assisted Living Facility
  • Chandler, AZ
National Provider Identifier
1194317628
Registry record updated Feb 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DESERT BREEZE ASSISTED LIVING INC
Practice address
4124 W Bart Dr
Chandler, AZ 85226-2112
Phone
(480) 785-9888
Fax
(480) 907-5690
NPI assigned
Feb 5, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2021

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

Authorized official

Name
Brendenfel Collado
Title
President
Phone
(480) 492-2008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

4124 W Bart Dr
Chandler, AZ 85226-2112

Mailing address

2734 S Bar Diamond St
Gilbert, AZ 85295-0059
Phone (480) 492-2008

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL Chandler

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1612483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1612828800000",
    "number": "1194317628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 S BAR DIAMOND ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852950059",
            "telephone_number": "480-492-2008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 W BART DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852262112",
            "telephone_number": "480-785-9888",
            "fax_number": "480-907-5690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESERT BREEZE ASSISTED LIVING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-05",
        "last_updated": "2021-02-09",
        "certification_date": "2021-02-09",
        "status": "A",
        "authorized_official_last_name": "COLLADO",
        "authorized_official_first_name": "BRENDENFEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-492-2008"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "Chandler",
            "affiliation": "N",
            "address_1": "4124 W Bart Dr",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852262112",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.