PLCC Management Co LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PLCC MANAGEMENT CO LLC

Practice address

8777 E Via de Ventura Ste 399
Scottsdale, AZ 85258-3344

Phone

(602) 693-3109

NPI assigned

May 8, 2023

Organization subpart

No

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

Authorized official

Name

Kerri Masengale

Title

Executive Director/Owner

Phone

(602) 693-3109

Specialties & licenses 1

Addresses

Other names 1

• Paradise Living Centers Camelback LLC 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": "1437848165",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4456",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852614456",
            "telephone_number": "602-693-3109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8777 E VIA DE VENTURA STE 399",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852583344",
            "telephone_number": "602-693-3109"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLCC MANAGEMENT CO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-08",
        "last_updated": "2023-05-08",
        "certification_date": "2023-05-08",
        "status": "A",
        "authorized_official_last_name": "MASENGALE",
        "authorized_official_first_name": "KERRI",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR/OWNER",
        "authorized_official_telephone_number": "602-693-3109"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paradise Living Centers Camelback LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Scottsdale, AZ
• Providers in Scottsdale, 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.