Organization Active NPI

Amore Manor Home a Behavioral Facility LLC

  • Assisted Living Facility (Behavioral Disturbances)
  • Chandler, AZ
National Provider Identifier
1386998276
Registry record updated Oct 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Behavioral Disturbances)Taxonomy code 3104A0630X
License
BH4110 Issued in AZ
Legal business name
AMORE MANOR HOME A BEHAVIORAL FACILITY LLC
Practice address
2585 E Honeysuckle PL
Chandler, AZ 85286-2452
Phone
(602) 295-9214
NPI assigned
Oct 31, 2012
Last updated
Oct 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2012

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

Authorized official

Name
Ernest Esteban, PHD, RN, BSN
Title
Clinical Director
Phone
(480) 369-4338

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X BH4110 AZ
Assisted Living Facility (Behavioral Disturbances) 3104A0630X BH4110 AZ Primary

Addresses

Primary practice location

2585 E Honeysuckle PL
Chandler, AZ 85286-2452

Mailing address

2585 E Honeysuckle PL
Chandler, AZ 85286-2452

Other identifiers 1

IdentifierTypeStateIssuer
BH4110OtherAZARIZONA DEPARTMENT OF HEALTH SERVICES-OBHL

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1351641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1351641600000",
    "number": "1386998276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 E HONEYSUCKLE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 E HONEYSUCKLE PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852862452",
            "telephone_number": "602-295-9214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMORE MANOR HOME A BEHAVIORAL FACILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-31",
        "last_updated": "2012-10-31",
        "status": "A",
        "authorized_official_last_name": "ESTEBAN",
        "authorized_official_first_name": "ERNEST",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "480-369-4338",
        "authorized_official_credential": "PHD, RN, BSN"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "BH4110",
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "AZ",
            "license": "BH4110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA DEPARTMENT OF HEALTH SERVICES-OBHL",
            "identifier": "BH4110",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 31, 2012; 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.