Organization Active NPI

Vicky'S Loving Home

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1295095461
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7043H Issued in AZ
Legal business name
VICKY'S LOVING HOME
Doing business as
Vicky's Loving Home
Practice address
3433 W Malapai Dr
Phoenix, AZ 85051-1240
Phone
(602) 216-9638
Fax
(602) 938-0156
NPI assigned
May 22, 2012
Organization subpart
Yes
Parent organization
V & E CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Authorized official

Name
Victoria Q Whitehat
Title
Vice President
Phone
(602) 216-9638

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7043H AZ Primary

Addresses

Primary practice location

3433 W Malapai Dr
Phoenix, AZ 85051-1240

Mailing address

3433 W Malapai Dr
Phoenix, AZ 85051-1240
Phone (602) 216-9638

Other identifiers 1

IdentifierTypeStateIssuer
347332MedicaidAZ

Other names 1

  • Vicky's Loving Home Doing business as

National Provider Directory

National Provider Directory
Part of
Vicky'S Loving Home

NPI Registry JSON

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

{
    "created_epoch": "1337644800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337644800000",
    "number": "1295095461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3433 W MALAPAI DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511240",
            "telephone_number": "602-216-9638",
            "fax_number": "602-938-0156"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3433 W MALAPAI DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850511240",
            "telephone_number": "602-216-9638",
            "fax_number": "602-938-0156"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VICKY'S LOVING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "V & E CORPORATION",
        "enumeration_date": "2012-05-22",
        "last_updated": "2012-05-22",
        "status": "A",
        "authorized_official_last_name": "WHITEHAT",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "602-216-9638"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL7043H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "347332",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Vicky's Loving Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2012; 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.