Garden Enclave Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

GARDEN ENCLAVE ASSISTED LIVING HOME

Doing business as

Garden Enclave Assisted Living Home

Practice address

22835 E Pummelos Rd
Queen Creek, AZ 85142-2216

Phone

(602) 500-1460

Fax

(480) 597-6065

NPI assigned

May 8, 2023

Last updated

May 8, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Robert Nana Ansah, LPN

Title

Facility Manager

Phone

(602) 500-1460

Specialties & licenses 1

Addresses

Other names 1

• Garden Enclave Assisted Living Home Doing business as

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

{
    "created_epoch": "1683504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683504000000",
    "number": "1427748094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22835 E PUMMELOS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422216",
            "telephone_number": "602-500-1460",
            "fax_number": "480-597-6065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22835 E PUMMELOS RD",
            "city": "QUEEN CREEK",
            "state": "AZ",
            "postal_code": "851422216",
            "telephone_number": "602-500-1460",
            "fax_number": "480-597-6065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARDEN ENCLAVE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "ANSAH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "NANA",
        "authorized_official_title_or_position": "FACILITY MANAGER",
        "authorized_official_telephone_number": "602-500-1460",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Garden Enclave Assisted Living Home",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kelby C Gale, DMD
• Anton L Gant
• Daniel Garas
• Sydney Marie Garbett
• Aleida Garcia
• Rebekah Gardiner, MS, AT, ATC, LMT
• Jeremy Gardner
• Vanessa Gardner
• Breanna Garner Eisler, LMT
• Rafe Garofalo, OD

• Assisted Living Facility in Queen Creek, AZ
• Providers in Queen Creek, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2023; 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.