NPIMap

Organization Active NPI

Pastalino Manor LLC 2

  • Community/Behavioral Health Agency
  • Chandler, AZ
National Provider Identifier
1326432741
Registry record updated Mar 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
BH 4431 Issued in AZ
Legal business name
PASTALINO MANOR LLC 2
Practice address
1383 W Kesler LN
Chandler, AZ 85224-7289
Phone
(480) 634-5485
Fax
(480) 699-7288
NPI assigned
Mar 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2015

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

Authorized official

Name
Mr. Paul Munyao Kivila, BA
Title
Administrator
Phone
(480) 634-5485

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X BH 4431 AZ Primary
Mental Illness Community Based Residential Treatment Facility 320800000X BH 4431 AZ

Addresses

Primary practice location

1383 W Kesler LN
Chandler, AZ 85224-7289

Mailing address

1393 W Kesler LN
Chandler, AZ 85224-7229
Phone (480) 634-5485

National Provider Directory

National Provider Directory
Tax ID family
Pastalino Manor LLC 59 organizations share this tax ID, including this one

Other organizations with this tax ID 8

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": "1427155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427155200000",
    "number": "1326432741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1393 W KESLER LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247229",
            "telephone_number": "480-634-5485",
            "fax_number": "480-699-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1383 W KESLER LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247289",
            "telephone_number": "480-634-5485",
            "fax_number": "480-699-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTALINO MANOR LLC 2",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A",
        "authorized_official_last_name": "KIVILA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MUNYAO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-634-5485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "BA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "AZ",
            "license": "BH 4431",
            "primary": true
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH 4431",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2015; 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.