Payson's Open Door

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8465H Issued in AZ

Legal business name

PAYSON'S OPEN DOOR

Practice address

1008 S Butte Crest Cir
Payson, AZ 85541-5603

Phone

(928) 474-2096

NPI assigned

May 2, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kim Marie Miles, RN

Title

Owner/Manager

Phone

(928) 474-2096

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1335916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335916800000",
    "number": "1497013940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 S BUTTE CREST CIR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415603",
            "telephone_number": "928-474-2096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1008 S BUTTE CREST CIR",
            "city": "PAYSON",
            "state": "AZ",
            "postal_code": "855415603",
            "telephone_number": "928-474-2096"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAYSON'S OPEN DOOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-02",
        "last_updated": "2012-05-02",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "KIM",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/MANAGER",
        "authorized_official_telephone_number": "928-474-2096",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8465H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payson Physician Services Corporation
• Payson Sleep Services, Inc.
• Payson United Medical Investors (Payson Care Center Outpatient Rehabilitation)
• Payson United Medical Investors LLC (Payson Care Center)
• Payson Walk-in Clinic
• Peak Health Medical Group LLC
• Peak Health Medical Group LLC
• Claudia Sage Pearce
• Phoenix Vamc
• Physiotherapy Associates, Inc. (Physiotherapy Associates)

• Assisted Living Facility in Payson, AZ
• Providers in Payson, 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 May 2, 2012; 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.