Padillas Residential Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-3002 Issued in AZ

Legal business name

PADILLAS RESIDENTIAL CARE

Practice address

1517 W Third St
Winslow, AZ 86047-2919

Phone

(928) 289-5430

NPI assigned

Jan 5, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Iona Marie Padilla

Title

Owner,Manager

Phone

(928) 289-5430

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457409799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1517 W THIRD ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472919",
            "telephone_number": "928-289-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 W THIRD ST",
            "city": "WINSLOW",
            "state": "AZ",
            "postal_code": "860472919",
            "telephone_number": "928-289-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PADILLAS RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "IONA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER,MANAGER",
        "authorized_official_telephone_number": "928-289-5430",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-3002",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "767337",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• North Country Healthcare, Inc.
• Dale Norton
• Pamela Nicole Novy
• Sharlann Olson
• Sista Paddock, MSW
• James Edward Page, M.D.
• Susan B Page, RN
• Kelly S Pak, PHARMD
• Nicholas James Palm, PHARM D
• Caterina Palumbo, MD

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