Active NPI
Desert Breeze Assisted Living Inc
- Assisted Living Facility
- Chandler, AZ
National Provider Identifier
1194317628
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | Chandler |
National Provider Directory
National Provider DirectoryNPI 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.