Organization Active NPI

Wings of Faith LLC

  • Assisted Living Facility
  • Prescott, AZ
National Provider Identifier
1205651122
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WINGS OF FAITH LLC
Practice address
948 Lupine LN
Prescott, AZ 86305-6733
Phone
(623) 285-9117
NPI assigned
Nov 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Authorized official

Name
Eugen Neatu
Title
Owner
Phone
(623) 285-9117

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

948 Lupine LN
Prescott, AZ 86305-6733

Mailing address

948 Lupine LN
Prescott, AZ 86305-6733
Phone (623) 285-9117

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1731628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731628800000",
    "number": "1205651122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "948 LUPINE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863056733",
            "telephone_number": "623-285-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 LUPINE LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863056733",
            "telephone_number": "623-285-9117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF FAITH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-15",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A",
        "authorized_official_last_name": "NEATU",
        "authorized_official_first_name": "EUGEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-285-9117"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2024; 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.