Desmale Social Services

Primary specialty

Child Physical Disabilities Respite CareTaxonomy code 385HR2065X

Legal business name

DESMALE SOCIAL SERVICES

Practice address

12818 W Soledad St
El Mirage, AZ 85335-8229

Phone

(623) 444-2731

Fax

(623) 444-4099

NPI assigned

Nov 16, 2010

Last updated

Nov 16, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Samuel Oghenjabor

Title

Program Director

Phone

(623) 444-2731

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1245531623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12818 W SOLEDAD ST",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853358229",
            "telephone_number": "623-444-2731",
            "fax_number": "623-444-4099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12818 W SOLEDAD ST",
            "city": "EL MIRAGE",
            "state": "AZ",
            "postal_code": "853358229",
            "telephone_number": "623-444-2731",
            "fax_number": "623-444-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DESMALE SOCIAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "OGHENJABOR",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "623-444-2731",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "385HR2065X",
            "taxonomy_group": "",
            "desc": "Respite Care, Respite Care, Physical Disabilities, Child",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "393765",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• El Mirage Dental Partners LLC (Risas Dental and Braces)

• Respite Care in El Mirage, AZ
• Providers in El Mirage, AZ by specialty
• Respite Care in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.