Organization Active NPI

Kiran Manor LLC

  • Mental Illness Community Based Residential Treatment Facility
  • Chandler, AZ
National Provider Identifier
1477298370
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
KIRAN MANOR LLC
Practice address
2150 E Flintlock Way
Chandler, AZ 85286-1243
Phone
(602) 369-7057
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mariam M. Yousef
Title
Owner
Phone
(602) 369-7057

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

2150 E Flintlock Way
Chandler, AZ 85286-1243

Mailing address

2150 E Flintlock Way
Chandler, AZ 85286-1243
Phone (602) 369-7057

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL kiranmanor21@gmail.com

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1477298370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 E FLINTLOCK WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861243",
            "telephone_number": "602-369-7057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2150 E FLINTLOCK WAY",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852861243",
            "telephone_number": "602-369-7057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRAN MANOR LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "YOUSEF",
        "authorized_official_first_name": "MARIAM",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-369-7057"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "kiranmanor21@gmail.com",
            "affiliation": "N",
            "address_1": "2150 E Flintlock Way",
            "city": "Chandler",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852861243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2022; 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.