Elmer Place for Parents

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL10437H Issued in AZ

Legal business name

ELMER PLACE FOR PARENTS

Practice address

25968 N.Sandstone Way
Surprise, AZ 85387

Phone

(623) 337-4753

Fax

(623) 374-6187

NPI assigned

Aug 3, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Elmer Nabong Dela Cruz

Title

Owner

Phone

(623) 337-4753

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225553985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25968 N SANDSTONE WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853876837",
            "telephone_number": "623-337-4753",
            "fax_number": "623-374-6187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25968 N.SANDSTONE WAY",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "85387",
            "telephone_number": "623-337-4753",
            "fax_number": "623-374-6187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELMER PLACE FOR PARENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-03",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "DELA CRUZ",
        "authorized_official_first_name": "ELMER",
        "authorized_official_middle_name": "NABONG",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-337-4753",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL10437H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 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.