St. Charles Place, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH3031 Issued in AZ

Legal business name

ST. CHARLES PLACE, LLC

Doing business as

st charles place llc.

Practice address

6818 S 16TH PL
Phoenix, AZ 85042-5714

Phone

(602) 276-0084

Fax

(602) 276-0084

NPI assigned

Jul 26, 2007

Organization subpart

Yes

Parent organization

ST CHARLES PLACE LLC.As reported in NPPES

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

Authorized official

Name

Mr. James W Williams, MSW

Title

Owner/President

Phone

(602) 276-0084

Specialties & licenses 1

Addresses

Other names 1

• st charles place llc. Doing business as

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222646400000",
    "number": "1245420223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6818 S 16TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425714",
            "telephone_number": "602-276-0084",
            "fax_number": "602-276-0084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6818 S 16TH PL",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425714",
            "telephone_number": "602-276-0084",
            "fax_number": "602-276-0084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. CHARLES PLACE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ST CHARLES PLACE  LLC.",
        "enumeration_date": "2007-07-26",
        "last_updated": "2008-09-29",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "602-276-0084",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH3031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "st charles place llc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2008; 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.