Organization Active NPI

Chrisol Care Home

  • Assisted Living Facility
  • Surprise, AZ
National Provider Identifier
1245309723
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH5940 Issued in AZ
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.