Organization Active NPI

Ezdonice Care LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Phoenix, AZ
National Provider Identifier
1326765165
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
Legal business name
EZDONICE CARE LLC
Practice address
4638 E Summerhaven Dr
Phoenix, AZ 85044-4820
Phone
(480) 650-2431
NPI assigned
Oct 24, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Bruno Ezealah
Title
Adinistrator
Phone
(480) 650-2431

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X Primary

Addresses

Primary practice location

4638 E Summerhaven Dr
Phoenix, AZ 85044-4820

Mailing address

1601 W Musket Way
Chandler, AZ 85286-8405
Phone (480) 650-2431

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1666569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1326765165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 W MUSKET WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852868405",
            "telephone_number": "480-650-2431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4638 E SUMMERHAVEN DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850444820",
            "telephone_number": "480-650-2431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EZDONICE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-24",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-22",
        "status": "A",
        "authorized_official_last_name": "EZEALAH",
        "authorized_official_first_name": "BRUNO",
        "authorized_official_title_or_position": "ADINISTRATOR",
        "authorized_official_telephone_number": "480-650-2431"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 24, 2022; 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.