Organization Active NPI

Four Directions LLC

  • Respite Care
  • Mesa, AZ
National Provider Identifier
1205004991
Registry record updated Feb 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
CSA08ADHS0198 Issued in AZ
Legal business name
FOUR DIRECTIONS LLC
Practice address
2248 N Ashbrook Cir
Mesa, AZ 85213-2276
Phone
(480) 699-2344
NPI assigned
Feb 14, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2008

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

Authorized official

Name
Mr. Romualdo R Munoz
Title
Program Administrator
Phone
(480) 699-2344

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X CSA08ADHS0198 AZ Primary

Addresses

Primary practice location

2248 N Ashbrook Cir
Mesa, AZ 85213-2276

Mailing address

PO Box 10908
Scottsdale, AZ 85271-0908

Other identifiers 1

IdentifierTypeStateIssuer
CSA08ADHS0198OtherAZADHS CERTIFICATE

National Provider Directory

National Provider Directory
Tax ID family
Four Directions LLC11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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": "1202947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202947200000",
    "number": "1205004991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10908",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852710908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2248 N ASHBROOK CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852132276",
            "telephone_number": "480-699-2344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOUR DIRECTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-14",
        "last_updated": "2008-02-14",
        "status": "A",
        "authorized_official_last_name": "MUNOZ",
        "authorized_official_first_name": "ROMUALDO",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PROGRAM ADMINISTRATOR",
        "authorized_official_telephone_number": "480-699-2344",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "AZ",
            "license": "CSA08ADHS0198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADHS CERTIFICATE",
            "identifier": "CSA08ADHS0198",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2008; 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.