Richmond Manor Adult Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH5949 Issued in AZ

Legal business name

RICHMOND MANOR ADULT CARE

Doing business as

none

Practice address

4356 W St Catherine Ave
Laveen, AZ 85339-6233

Phone

(480) 703-7396

Fax

(602) 237-0829

NPI assigned

Jun 15, 2007

Last updated

Aug 22, 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

Mrs. Maria Virginia Nievera Cordova

Title

Manager-Owner

Phone

(480) 703-7396

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• none Doing business as

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

{
    "created_epoch": "1181865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1275738759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4356 W ST CATHERINE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396233",
            "telephone_number": "480-703-7396",
            "fax_number": "602-237-0829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4356 W ST CATHERINE AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853396233",
            "telephone_number": "480-703-7396",
            "fax_number": "602-237-0829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHMOND MANOR ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CORDOVA",
        "authorized_official_first_name": "MARIA VIRGINIA",
        "authorized_official_middle_name": "NIEVERA",
        "authorized_official_title_or_position": "MANAGER-OWNER",
        "authorized_official_telephone_number": "480-703-7396",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH5949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCS",
            "identifier": "162266",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "none",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ready4Life Behavioral Health & Counseling LLC
• Della Rae Regenwether, NP
• Billye Jo Reid-Ocampo, M.ED., CCC-SLP
• Renaissance Assisted Living
• Ngabho Richard
• Righteous Path Care Homes LLC
• Rise Recovery Partners LLC
• Rising Sun Occupational Therapy PLLC
• Rite Way Transportation Serves
• Bobbie Jo Robertson-Meneses, L.P.N.

• Assisted Living Facility in Laveen, AZ
• Providers in Laveen, 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 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.