Organization Active NPI

DP Belmont, LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1487420394
Registry record updated Dec 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DP BELMONT, LLC
Practice address
813 E Belmont Ave
Phoenix, AZ 85020-4102
Phone
(602) 943-4842
Fax
(855) 339-5491
NPI assigned
Dec 1, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2023

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

Authorized official

Name
Mazciel Hernandez
Title
Managing Member
Phone
(623) 738-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

813 E Belmont Ave
Phoenix, AZ 85020-4102

Mailing address

1214 E Palmaire Ave
Phoenix, AZ 85020-5429
Phone (602) 943-4842

Other names 1

  • Desert Palm at Belmont 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": "1701388800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701388800000",
    "number": "1487420394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1214 E PALMAIRE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205429",
            "telephone_number": "602-943-4842",
            "fax_number": "855-339-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "813 E BELMONT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204102",
            "telephone_number": "602-943-4842",
            "fax_number": "855-339-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DP BELMONT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-12-01",
        "last_updated": "2023-12-01",
        "certification_date": "2023-12-01",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "MAZCIEL",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "623-738-6155"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Palm at Belmont",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.