Active NPI
Chrisol Care Home
- Assisted Living Facility
- Surprise, AZ
National Provider Identifier
1245309723
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- ALH5940
- Legal business name
- CHRISOL CARE HOME
- Practice address
- 17316 W Tara LN
Surprise, AZ 85388-1216 - Phone
- (623) 266-0552
- Fax
- (623) 266-0552
- NPI assigned
- Nov 7, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Christina Alagaban Manas, ASSISTEDLIVING
- Title
- Owner
- Phone
- (623) 266-0552
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | ALH5940 | AZ | Primary |
Addresses
Primary practice location
17316 W Tara LN
Surprise, AZ 85388-1216
Mailing address
17316 W Tara LN
Surprise, AZ 85388-1216
Phone (623) 266-0552
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162857600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1245309723",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17316 W TARA LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853881216",
"telephone_number": "623-266-0552",
"fax_number": "623-266-0552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17316 W TARA LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853881216",
"telephone_number": "623-266-0552",
"fax_number": "623-266-0552"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISOL CARE HOME",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-07",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MANAS",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "ALAGABAN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "623-266-0552",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "ASSISTEDLIVING"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "ALH5940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Surprise, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.