Lucy Angelina Carrasco

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

License

BH5328 Issued in AZ

Practice address

12558 N 76TH St
Scottsdale, AZ 85260-4808

Phone

(623) 698-2322

Fax

(480) 595-3175

NPI assigned

Mar 10, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Carefree Manor Assisted Living LLC

  • Physical Disabilities Residential Treatment Facility
  • Carefree, AZ
  • NPI 1023658127
  NPD (past) Authorized official

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

{
    "created_epoch": "1520640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520640000000",
    "number": "1215430814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 910",
            "city": "CAREFREE",
            "state": "AZ",
            "postal_code": "853770910",
            "telephone_number": "623-698-2322",
            "fax_number": "480-595-3175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12558 N 76TH ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852604808",
            "telephone_number": "623-698-2322",
            "fax_number": "480-595-3175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRASCO",
        "first_name": "LUCY",
        "middle_name": "ANGELINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-03-10",
        "last_updated": "2018-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH5328",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Charles Carr, M.D.
• Keitwen Carr, LPC
• Robin Carr
• Armando Carranza, BS, RBT
• Leslie Carrasco, LMSW
• Cynthia Carrazco
• Brittany Ralene Carrie, OTD, OTR/L
• Sophie Rae Carrier
• Valerie Elizabeth Carrier, MD
• Ariana S Carrillo-Ortega, OTD

• Mental Illness Community Based Residential Treatment Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2018; 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.