NPIMap

Organization Active NPI

Alpine Villa LLC

Doing business as Alpine Villa Lindner

  • Mental Illness Community Based Residential Treatment Facility
  • Glendale, AZ
National Provider Identifier
1275163214
Registry record updated Jan 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
ALPINE VILLA LLC
Doing business as
Alpine Villa Lindner
Practice address
17219 N Lindner Dr
Glendale, AZ 85308-3308
Phone
(602) 975-8247
NPI assigned
Jan 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 16, 2024

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

Authorized official

Name
Eric Glade Maughan
Title
Administrator
Phone
(602) 292-2010

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

17219 N Lindner Dr
Glendale, AZ 85308-3308

Mailing address

6439 W Willow Ave
Glendale, AZ 85304-1050
Phone (602) 292-2010

Other names 1

  • Alpine Villa Lindner Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alpine Villa LLC6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1579219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705363200000",
    "number": "1275163214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6439 W WILLOW AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853041050",
            "telephone_number": "602-292-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17219 N LINDNER DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853083308",
            "telephone_number": "602-975-8247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPINE VILLA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-17",
        "last_updated": "2024-01-16",
        "certification_date": "2024-01-16",
        "status": "A",
        "authorized_official_last_name": "MAUGHAN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "GLADE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-292-2010"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alpine Villa Lindner",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Alpine Villa Lindner",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2024; 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.