Organization Active NPI

Pacey Care LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Phoenix, AZ
National Provider Identifier
1356902803
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
PACEY CARE LLC
Practice address
2022 N Pacey Rd
Phoenix, AZ 85037-6301
Phone
(602) 374-5010
Fax
(602) 374-5047
NPI assigned
Jun 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Authorized official

Name
Rusty Catania
Title
Manager
Phone
(623) 776-9189

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2022 N Pacey Rd
Phoenix, AZ 85037-6301

Mailing address

8465 W Grand Ave
Peoria, AZ 85345-8102
Phone (623) 776-9189

National Provider Directory

National Provider Directory

Locations

8465 W Grand Ave
Peoria, AZ 85345

NPI Registry JSON

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561420800000",
    "number": "1356902803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8465 W GRAND AVE",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853458102",
            "telephone_number": "623-776-9189",
            "fax_number": "602-776-9250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 N PACEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850376301",
            "telephone_number": "602-374-5010",
            "fax_number": "602-374-5047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACEY CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-25",
        "last_updated": "2019-06-25",
        "status": "A",
        "authorized_official_last_name": "CATANIA",
        "authorized_official_first_name": "RUSTY",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "623-776-9189"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Jun 25, 2019; 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.