Peoria Care Homes LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PEORIA CARE HOMES LLC

Practice address

7233 W Paradise LN
Peoria, AZ 85382-4942

Phone

(602) 400-2604

NPI assigned

Mar 26, 2020

Last updated

Mar 26, 2020By 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

Kingsley Alade Iyere

Title

Administrator

Phone

(602) 400-2604

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1585180800000",
    "number": "1275160236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10343 W ROBIN LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853832119",
            "telephone_number": "602-400-2604",
            "fax_number": "623-225-7555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7233 W PARADISE LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853824942",
            "telephone_number": "602-400-2604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEORIA CARE HOMES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-26",
        "last_updated": "2020-03-26",
        "certification_date": "2020-03-26",
        "status": "A",
        "authorized_official_last_name": "IYERE",
        "authorized_official_first_name": "KINGSLEY",
        "authorized_official_middle_name": "ALADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-400-2604"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Rochelle Pena, FNP
• Jazmin Penaloza Mata
• Christina M Pence
• Peoria Dental Center Group, LLC (Peoria Dental Center)
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• Peoria Healthy Smiles LLC

• Assisted Living Facility in Peoria, AZ
• Providers in Peoria, 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 Mar 26, 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.