Senior Living Options Maryland Gardens, LLC

Primary specialty

Alzheimer Center (Dementia Center)Taxonomy code 311500000X

License

ALC5942 Issued in AZ

Legal business name

SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC

Practice address

31 W Maryland Ave
Phoenix, AZ 85013-1227

Phone

(602) 265-7484

Fax

(602) 265-0659

NPI assigned

Oct 19, 2006

Organization subpart

No

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

Authorized official

Name

Sean Mockbee

Title

Administrator

Phone

(602) 265-7484

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Maryland Gardens Assisted Living Doing business as

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1386726222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 W MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131227",
            "telephone_number": "602-265-7484",
            "fax_number": "602-265-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 W MARYLAND AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850131227",
            "telephone_number": "602-265-7484",
            "fax_number": "602-265-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SENIOR LIVING OPTIONS MARYLAND GARDENS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-19",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MOCKBEE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-265-7484"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "AZ",
            "license": "ALC5942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "160139",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maryland Gardens Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Senior Care Management Solutions LLC
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• Senior Care Services Partners LLC
• Senior Doc Arizona PC
• Senior Living Options Maryland Gardens, LLC
• Senior Planning
• Senior Safe Hospice Inc
• Senior Safety Assessment Group
• Senmate, LLC
• Rebekah Ann Vreeland Sensenig, DO

• Alzheimer Center (Dementia Center) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Alzheimer Center (Dementia Center) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 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.