Organization Active NPI

Angel'S Heart Assisted Living

  • Respite Care
  • Mesa, AZ
National Provider Identifier
1447548466
Registry record updated Nov 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
Legal business name
ANGEL'S HEART ASSISTED LIVING
Practice address
7815 E Obispo Ave
Mesa, AZ 85212-1524
Phone
(480) 415-3732
Fax
(480) 380-3083
NPI assigned
Jul 11, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2011

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

Authorized official

Name
Katrina Kay Thames
Title
Owner /Manager
Phone
(480) 343-1604

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X Primary

Addresses

Primary practice location

7815 E Obispo Ave
Mesa, AZ 85212-1524

Mailing address

7815 E Obispo Ave
Mesa, AZ 85212-1524
Phone (480) 415-3732

Other names 1

  • Angel's heart home Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1310342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321142400000",
    "number": "1447548466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7815 E OBISPO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121524",
            "telephone_number": "480-415-3732",
            "fax_number": "480-380-3083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7815 E OBISPO AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852121524",
            "telephone_number": "480-415-3732",
            "fax_number": "480-380-3083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANGEL'S HEART ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-11",
        "last_updated": "2011-11-13",
        "status": "A",
        "authorized_official_last_name": "THAMES",
        "authorized_official_first_name": "KATRINA",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "OWNER /MANAGER",
        "authorized_official_telephone_number": "480-343-1604"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angel's heart home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2011; 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.