Organization Active NPI

Birds of Paradise

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1336509686
Registry record updated Feb 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL9556H Issued in AZ
Legal business name
BIRDS OF PARADISE
Practice address
7110 W Pueblo Ave
Phoenix, AZ 85043-2035
Phone
(623) 474-7520
Fax
(623) 936-1180
NPI assigned
Feb 29, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2016

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

Authorized official

Name
Ms. Lucia Rodriguez
Title
Owner
Phone
(602) 545-5050

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL9556H AZ Primary

Addresses

Primary practice location

7110 W Pueblo Ave
Phoenix, AZ 85043-2035

Mailing address

7110 W Pueblo Ave
Phoenix, AZ 85043-2035
Phone (623) 474-7520

Other identifiers 1

IdentifierTypeStateIssuer
083929MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1456704000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456704000000",
    "number": "1336509686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7110 W PUEBLO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850432035",
            "telephone_number": "623-474-7520",
            "fax_number": "623-936-1180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7110 W PUEBLO AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850432035",
            "telephone_number": "623-474-7520",
            "fax_number": "623-936-1180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BIRDS OF PARADISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-29",
        "last_updated": "2016-02-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LUCIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-545-5050",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9556H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "083929",
            "state": "AZ"
        }
    ],
    "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 Feb 29, 2016; 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.