Organization Active NPI

Active Care Home II LLC

  • Assisted Living Facility
  • Scottsdale, AZ
National Provider Identifier
1245028737
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
ACTIVE CARE HOME II LLC
Practice address
5711 E Aire Libre Ave
Scottsdale, AZ 85254-1206
Phone
(480) 236-5646
Fax
(602) 535-5640
NPI assigned
Apr 25, 2025
Last updated
Apr 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Authorized official

Name
Crina Gavrila
Title
Co-Owner
Phone
(480) 236-5646

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5711 E Aire Libre Ave
Scottsdale, AZ 85254-1206

Mailing address

5711 E Aire Libre Ave
Scottsdale, AZ 85254-1206
Phone (480) 236-5646

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1745539200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745539200000",
    "number": "1245028737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5711 E AIRE LIBRE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541206",
            "telephone_number": "480-236-5646",
            "fax_number": "602-535-5640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5711 E AIRE LIBRE AVE",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852541206",
            "telephone_number": "480-236-5646",
            "fax_number": "602-535-5640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE CARE HOME II LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-25",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A",
        "authorized_official_last_name": "GAVRILA",
        "authorized_official_first_name": "CRINA",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "480-236-5646"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.