Alpine Villa LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

ALPINE VILLA LLC

Doing business as

Alpine Villa Paradise

Practice address

4610 W Paradise Dr
Glendale, AZ 85304-3029

Phone

(602) 292-2010

NPI assigned

Jan 18, 2021

Last updated

Jan 18, 2021By 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

Eric Glade Maughan

Title

Administrator

Phone

(602) 292-2010

Specialties & licenses 1

Addresses

Other names 1

• Alpine Villa Paradise Doing business as

Tax ID family

Alpine Villa LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• Alpine Villa LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1174143846
  NPD tax ID
• Alpine Villa LLC

  dba Alpine Villa Luke

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1225697386
  NPD tax ID
• Alpine Villa LLC

  dba Alpine Villa Lindner

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
  • NPI 1275163214
  NPD tax ID
• Alpine Villa LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1598282535
  NPD tax ID
• Alpine Villa LLC

  dba Alpine Villa

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
  • NPI 1922668862
  NPD tax ID

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610928000000",
    "number": "1215526843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8845 W POTTER DR",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853826428",
            "telephone_number": "602-292-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4610 W PARADISE DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853043029",
            "telephone_number": "602-292-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GLADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-292-2010"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Villa Paradise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aloha Counseling LLC
• Jeffrey Barton Alpern, DO
• Alpha Psychiatric Associates PLLC
• Alpha Psychiatric Associates, P.L.L.C.
• Alphamed Arrowhead LLC (AlphaMeD Arrowhead)
• Alpine Villa LLC (Alpine Villa Lindner)
• Evajean Alpine
• Ammar Alsoubaii
• Devon Alston
• Alta Sky Dental, LLC

• Substance Abuse Rehabilitation Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Substance Abuse Rehabilitation Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.