Organization Active NPI

Alegre Care Home

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1487979233
Registry record updated Apr 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL7051H Issued in AZ
Legal business name
ALEGRE CARE HOME
Practice address
4232 W Waltann LN
Phoenix, AZ 85053-3772
Phone
(602) 281-6512
Fax
(602) 281-6512
NPI assigned
Apr 6, 2010
Last updated
Apr 6, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2010

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

Authorized official

Name
Mr. Paul Pucti
Title
Owner/Administrator
Phone
(602) 281-6512

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL7051H AZ Primary

Addresses

Primary practice location

4232 W Waltann LN
Phoenix, AZ 85053-3772

Mailing address

4232 W Waltann LN
Phoenix, AZ 85053-3772
Phone (602) 281-6512

Other names 1

  • West Pacific Medical Services Former legal business name

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270512000000",
    "number": "1487979233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4232 W WALTANN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533772",
            "telephone_number": "602-281-6512",
            "fax_number": "602-281-6512"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4232 W WALTANN LN",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850533772",
            "telephone_number": "602-281-6512",
            "fax_number": "602-281-6512"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALEGRE CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-06",
        "last_updated": "2010-04-06",
        "status": "A",
        "authorized_official_last_name": "PUCTI",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "602-281-6512",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL7051H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Pacific Medical Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Apr 6, 2010; 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.