FS Tenant Pool II Trust

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NCI343 Issued in AZ

Legal business name

FS TENANT POOL II TRUST

Doing business as

Pueblo Norte Senior Living Community

Practice address

7090 E Mescal St
Scottsdale, AZ 85254-6118

Phone

(480) 948-3990

Fax

(480) 951-7389

NPI assigned

May 25, 2006

Last updated

Aug 29, 2019By the provider in NPPES

Organization subpart

Yes

Parent organization

FS TENANT POOL II TRUSTAs reported in NPPES

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

Authorized official

Name

Katherine E Potter

Title

President & Chief Executive Officer

Phone

(617) 796-8387

Specialties & licenses 2

Addresses

Other names 1

• Pueblo Norte Senior Living Community Doing business as

Part of

FS Tenant Pool II Trust

Locations

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

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567036800000",
    "number": "1235185836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7100 E MESCAL ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546126",
            "telephone_number": "480-948-3990",
            "fax_number": "480-951-7389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7090 E MESCAL ST",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852546118",
            "telephone_number": "480-948-3990",
            "fax_number": "480-951-7389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FS TENANT POOL II TRUST",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FS  TENANT POOL II TRUST",
        "enumeration_date": "2006-05-25",
        "last_updated": "2019-08-29",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT & CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "617-796-8387"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "N046033",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pueblo Norte Senior Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Skilled Nursing Facility in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Skilled Nursing Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.