The Park on 7TH Avenue

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

881616 Issued in AZ

Legal business name

THE PARK ON 7TH AVENUE

Practice address

10234 N 7TH Ave
Phoenix, AZ 85021-2423

Phone

(602) 371-0767

Fax

(602) 944-2871

NPI assigned

Jun 8, 2007

Organization subpart

Yes

Parent organization

SINGLETREE INVESTMENTS L.L.C.As reported in NPPES

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

Authorized official

Name

Mrs. Sherry June Graf, LICENSED MANAGER

Title

Owner Manager

Phone

(928) 442-3059

Specialties & licenses 1

Addresses

Part of

The Park on 7TH Avenue

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Sue Tillack, ANP

  • Adult Health Nurse Practitioner
  • Phoenix, AZ
  • NPI 1861459042
  NPD (past)

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

{
    "created_epoch": "1181260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184198400000",
    "number": "1285837047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10234 N. 7TH AVENUE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212423",
            "telephone_number": "602-371-0767",
            "fax_number": "602-944-2871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10234 N 7TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850212423",
            "telephone_number": "602-371-0767",
            "fax_number": "602-944-2871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PARK ON 7TH AVENUE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SINGLETREE INVESTMENTS L.L.C.",
        "enumeration_date": "2007-06-08",
        "last_updated": "2007-07-12",
        "status": "A",
        "authorized_official_last_name": "GRAF",
        "authorized_official_first_name": "SHERRY",
        "authorized_official_middle_name": "JUNE",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "928-442-3059",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LICENSED MANAGER"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "881616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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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 Jul 12, 2007; 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.