NPIMap

Organization Active NPI

Gentle Care Assisted Living Home

  • Community Health Worker
  • Chandler, AZ
National Provider Identifier
1386944296
Registry record updated Oct 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
AL6888H Issued in AZ
Legal business name
GENTLE CARE ASSISTED LIVING HOME
Practice address
643 E la Costa Dr
Chandler, AZ 85249-6943
Phone
(602) 295-9214
Fax
(480) 219-1607
NPI assigned
Oct 25, 2010
Organization subpart
Yes
Parent organization
MARIA R. NATIVIDAD,INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 25, 2010

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

Authorized official

Name
Ms. Maria Rondilla Natividad
Title
Owner/Licensee
Phone
(602) 295-9214

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 172V00000X AL6888H AZ Primary

Addresses

Primary practice location

643 E la Costa Dr
Chandler, AZ 85249-6943

Mailing address

643 E la Costa Dr
Chandler, AZ 85249-6943
Phone (602) 295-9214

Other names 1

  • Regal Manor Assisted Living Home Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Gentle Care Assisted Living Home3 organizations share this tax ID, including this one
Part of
Gentle Care Assisted Living Home

Other organizations with this tax ID 2

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": "1287964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287964800000",
    "number": "1386944296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "643 E LA COSTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496943",
            "telephone_number": "602-295-9214",
            "fax_number": "480-219-1607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "643 E LA COSTA DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852496943",
            "telephone_number": "602-295-9214",
            "fax_number": "480-219-1607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GENTLE CARE ASSISTED LIVING HOME",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MARIA R. NATIVIDAD,INC.",
        "enumeration_date": "2010-10-25",
        "last_updated": "2010-10-25",
        "status": "A",
        "authorized_official_last_name": "NATIVIDAD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "RONDILLA",
        "authorized_official_title_or_position": "OWNER/LICENSEE",
        "authorized_official_telephone_number": "602-295-9214",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Community Health Worker",
            "state": "AZ",
            "license": "AL6888H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Regal Manor Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2010; 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.