Active NPI
Desert View Assisted Living
- Adult Care Home Facility
- Phoenix, AZ
National Provider Identifier
1386147262
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Care Home Facility
- License
- AL9754H
- Legal business name
- DESERT VIEW ASSISTED LIVING
- Practice address
- 9401 N 36 Ave
Phoenix, AZ 85051-3305 - Phone
- (602) 841-7669
- Fax
- (602) 714-6441
- NPI assigned
- Mar 16, 2018
- 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
- Puica Pamela Bebec
- Title
- Administrator
- Phone
- (602) 841-7669
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Care Home Facility | 311ZA0620X | AL9754H | AZ | Primary |
Addresses
Primary practice location
9401 N 36 Ave
Phoenix, AZ 85051-3305
Mailing address
9407 N 36TH Ave
Phoenix, AZ 85051-3305
Phone (602) 841-7669
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 878754 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521158400000",
"number": "1386147262",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9407 N 36TH AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850513305",
"telephone_number": "602-841-7669",
"fax_number": "602-714-6441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9401 N 36 AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850513305",
"telephone_number": "602-841-7669",
"fax_number": "602-714-6441"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DESERT VIEW ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-16",
"last_updated": "2018-03-16",
"status": "A",
"authorized_official_last_name": "BEBEC",
"authorized_official_first_name": "PUICA",
"authorized_official_middle_name": "PAMELA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "602-841-7669"
},
"taxonomies": [
{
"code": "311ZA0620X",
"taxonomy_group": "",
"desc": "Custodial Care Facility, Adult Care Home",
"state": "AZ",
"license": "AL9754H",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "878754",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
- Desert Valley Primary Care Physicians
- Desert Valley Radiology, PLC
- Desert Valley Radiology, PLC
- Desert Valley Radiology, PLC
- Desert View Assisted Living
- Desert View Behavioral Health Services LLC
- Desert View Dental PLLC
- Desert View Family Clinic Corp.
- Desert View Family Practice Inc
- Desert View Medical Center and Pediatrics, Corp
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.