NPIMap

Organization Active NPI

Pastalino Manor 4

  • Physical Disabilities Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1356853915
Registry record updated Nov 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X
Legal business name
PASTALINO MANOR 4
Practice address
1421 E Maldonado Dr
Phoenix, AZ 85042-5602
Phone
(602) 296-5487
NPI assigned
Nov 3, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2017

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

Authorized official

Name
Mr. Paul Munyao Kivila, B.A.
Title
Administrator/Owner
Phone
(480) 634-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Disabilities Residential Treatment Facility 320700000X Primary

Addresses

Primary practice location

1421 E Maldonado Dr
Phoenix, AZ 85042-5602

Mailing address

1383 W Kesler LN
Chandler, AZ 85224-7289
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": "1509667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509667200000",
    "number": "1356853915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 E MALDONADO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850425602",
            "telephone_number": "602-296-5487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTALINO MANOR 4",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-03",
        "last_updated": "2017-11-03",
        "status": "A",
        "authorized_official_last_name": "KIVILA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MUNYAO",
        "authorized_official_title_or_position": "ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "480-634-5485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "B.A."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "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 Nov 3, 2017; 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.