Organization Active NPI

Amethyst Meadows Senior Care

  • Adult Care Home Facility
  • Avondale, AZ
National Provider Identifier
1306798558
Registry record updated Feb 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
AMETHYST MEADOWS SENIOR CARE
Practice address
233 S 123Rd Dr
Avondale, AZ 85323-8043
Phone
(480) 599-0284
NPI assigned
Feb 11, 2026
Last updated
Feb 11, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2026

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

Authorized official

Name
Mr. Angelo Marcus Abellido
Title
Manager
Phone
(480) 599-0284

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X NU Primary

Addresses

Primary practice location

233 S 123Rd Dr
Avondale, AZ 85323-8043

Mailing address

233 S 123Rd Dr
Avondale, AZ 85323-8043
Phone (480) 599-0284

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770768000000",
    "number": "1306798558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 S 123RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238043",
            "telephone_number": "480-599-0284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 S 123RD DR",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853238043",
            "telephone_number": "480-599-0284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMETHYST MEADOWS SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-11",
        "last_updated": "2026-02-11",
        "certification_date": "2026-02-11",
        "status": "A",
        "authorized_official_last_name": "ABELLIDO",
        "authorized_official_first_name": "ANGELO",
        "authorized_official_middle_name": "MARCUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-599-0284",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2026; 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.