Mountzion Home Assisting Live Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8065H Issued in AZ

Legal business name

MOUNTZION HOME ASSISTING LIVE HOME

Practice address

7019 W Cambridge Ave
Phoenix, AZ 85035-1426

Phone

(480) 392-5422

NPI assigned

Apr 29, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Gladys Yolanda Rosa, AL8065H

Title

Owner

Phone

(480) 392-5422

Specialties & licenses 1

Addresses

Other names 1

• n/a Former legal business name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gladys Yolanda Rosa

  • Assisted Living Facility
  • Phoenix, AZ
  • NPI 1942083530
  NPD (past)

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

{
    "created_epoch": "1367193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367193600000",
    "number": "1336583756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7019 W CAMBRIDGE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351426",
            "telephone_number": "480-392-5422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7019 W CAMBRIDGE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850351426",
            "telephone_number": "480-392-5422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTZION HOME ASSISTING LIVE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-29",
        "last_updated": "2013-04-29",
        "status": "A",
        "authorized_official_last_name": "ROSA",
        "authorized_official_first_name": "GLADYS",
        "authorized_official_middle_name": "YOLANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-392-5422",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "AL8065H"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8065H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Mountainside Fitness Acquisitions, LLC
• Mountainside Fitness Acquisitions, LLC
• Mountainside Medical Clinic
• Mountainside Wellness Center Inc
• Mountaintop Behavioral Health Services LLC
• Rawad Mounzer, M.D.
• Melanie Mourt, ND
• Maher Mousa, MD
• Maral Mousazadeh Kermani Najad, DPM
• Frank W Moussa, MD

• Assisted Living Facility in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2013; 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.