Active NPI
Pacey Care LLC
- Mental Illness Community Based Residential Treatment Facility
- Phoenix, AZ
National Provider Identifier
1356902803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.