Elder's Ranch by Carla, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

ELDER'S RANCH BY CARLA, LLC

Practice address

16802 N 43Rd St
Phoenix, AZ 85032-3324

Phone

(602) 404-4330

Fax

(602) 494-5209

NPI assigned

Apr 24, 2022

Last updated

Apr 29, 2022By 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

Carla Lockhart, NURSE PRACTITIONERNPI 1871941476

Title

Assisted Living Manager

Phone

(602) 686-0051

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carla Lockhart, MSN-FNP STUDENT

  • Family Nurse Practitioner
  • Phoenix, AZ
  • NPI 1871941476
  NPD Authorized official

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

{
    "created_epoch": "1650758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651190400000",
    "number": "1205570595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18163 W PUEBLO AVE",
            "city": "GOODYEAR",
            "state": "AZ",
            "postal_code": "853382042",
            "telephone_number": "602-686-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16802 N 43RD ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850323324",
            "telephone_number": "602-404-4330",
            "fax_number": "602-494-5209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELDER'S RANCH BY CARLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-24",
        "last_updated": "2022-04-29",
        "certification_date": "2022-04-29",
        "status": "A",
        "authorized_official_last_name": "LOCKHART",
        "authorized_official_first_name": "CARLA",
        "authorized_official_title_or_position": "ASSISTED LIVING MANAGER",
        "authorized_official_telephone_number": "602-686-0051",
        "authorized_official_credential": "NURSE PRACTITIONER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Marie Elbogen
• Steven Charles Elcock, DMD
• Emily Elcsisin
• Paige Emily Elder, MS
• Tanzola Z Elder
• Eldercareplanningpartners Dba Right at Home
• David Lawrence Eldredge, M.D.
• Tina Michelle Eldrige
• Eleanor Health Professional TX, PLLC
• Electric Mobility Corporation

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2022; 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.