Greenfields Assisted Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALC-4320 Issued in AZ

Legal business name

GREENFIELDS ASSISTED LIVING LLC

Doing business as

Greenfield Assisted Living Community

Practice address

723 E Second Ave
Mesa, AZ 85204-1039

Phone

(480) 649-3911

Fax

(480) 649-1330

NPI assigned

Sep 21, 2005

Organization subpart

No

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

Authorized official

Name

John Gurrieri

Title

Executive Director

Phone

(480) 649-3911

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Greenfield Assisted Living Community Doing business as

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

{
    "created_epoch": "1127260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437145836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "723 E SECOND AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041039",
            "telephone_number": "480-649-3911",
            "fax_number": "480-649-1330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "723 E SECOND AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041039",
            "telephone_number": "480-649-3911",
            "fax_number": "480-649-1330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREENFIELDS ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GURRIERI",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "480-649-3911"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALC-4320",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "797061",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Greenfield Assisted Living Community",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Mesa, AZ
• Providers in Mesa, 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 Aug 22, 2020; 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.