NPIMap

Organization Active NPI

Assisted Living at Mountain Vista 1, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • Paradise Valley, AZ
National Provider Identifier
1356502454
Registry record updated Jun 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
ALH-6276 Issued in AZ
Legal business name
ASSISTED LIVING AT MOUNTAIN VISTA 1, INC.
Doing business as
Assisted Living at mountain vista 1, inc.
Practice address
7568 N Mockingbird LN
Paradise Valley, AZ 85253-3125
Phone
(480) 699-7561
Fax
(480) 607-5444
NPI assigned
Jun 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 20, 2008

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

Authorized official

Name
Zanely Roxas Zaragoza Jr.
Title
Operations Manager
Phone
(480) 580-1650

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Behavioral Disturbances) 3104A0630X ALH-6276 AZ Primary

Addresses

Primary practice location

7568 N Mockingbird LN
Paradise Valley, AZ 85253-3125

Mailing address

6501 E Greenway Pkwy
103-505
Scottsdale, AZ 85254-2065
Phone (480) 580-1650

Other names 1

  • Assisted Living at mountain vista 1, inc. Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Assisted Living at Mountain Vista2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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": "1213920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213920000000",
    "number": "1356502454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6501 E GREENWAY PKWY",
            "address_2": "103-505",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852542065",
            "telephone_number": "480-580-1650",
            "fax_number": "480-607-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7568 N MOCKINGBIRD LN",
            "city": "PARADISE VALLEY",
            "state": "AZ",
            "postal_code": "852533125",
            "telephone_number": "480-699-7561",
            "fax_number": "480-607-5444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSISTED LIVING AT MOUNTAIN VISTA 1, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-20",
        "last_updated": "2008-06-20",
        "status": "A",
        "authorized_official_last_name": "ZARAGOZA",
        "authorized_official_first_name": "ZANELY",
        "authorized_official_middle_name": "ROXAS",
        "authorized_official_title_or_position": "OPERATIONS MANAGER",
        "authorized_official_telephone_number": "480-580-1650",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "ALH-6276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Assisted Living at mountain vista 1, inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Paradise Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; 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.