Elite Care Homes, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL7765H Issued in AZ

Legal business name

ELITE CARE HOMES, LLC

Practice address

12840 E Gold Dust Ave
Scottsdale, AZ 85259-5317

Phone

(480) 945-9292

Fax

(480) 947-2006

NPI assigned

Sep 17, 2010

Last updated

Sep 17, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael E Walla

Title

Manager

Phone

(480) 945-9292

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1284681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284681600000",
    "number": "1205144748",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16009 N 81ST ST STE 200",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852601843",
            "telephone_number": "480-945-9292",
            "fax_number": "480-947-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12840 E GOLD DUST AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852595317",
            "telephone_number": "480-945-9292",
            "fax_number": "480-947-2006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE CARE HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-17",
        "last_updated": "2010-09-17",
        "status": "A",
        "authorized_official_last_name": "WALLA",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-945-9292"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL7765H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Scottsdale, AZ
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2010; 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.