Organization Active NPI

Pointe Healthcare, LLC.

  • Skilled Nursing Facility
  • Phoenix, AZ
National Provider Identifier
1508207085
Registry record updated Mar 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI-2711 Issued in AZ
Legal business name
POINTE HEALTHCARE, LLC.
Practice address
1501 E Orangewood Ave
Phoenix, AZ 85020-5130
Phone
(602) 544-3196
Fax
(602) 553-7574
NPI assigned
Jul 11, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2014

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

Authorized official

Name
Mr. Steve Jorgenson
Title
Ceo/President
Phone
(602) 840-0937

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI-2711 AZ Primary

Addresses

Primary practice location

1501 E Orangewood Ave
Phoenix, AZ 85020-5130

Mailing address

14650 N 78TH Way
BLDG B
Scottsdale, AZ 85260-3201
Phone (602) 544-3196

Other identifiers 1

IdentifierTypeStateIssuer
886336MedicaidAZ

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1373500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1395792000000",
    "number": "1508207085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14650 N 78TH WAY",
            "address_2": "BLDG B",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852603201",
            "telephone_number": "602-544-3196",
            "fax_number": "602-553-7574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205130",
            "telephone_number": "602-544-3196",
            "fax_number": "602-553-7574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINTE HEALTHCARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-11",
        "last_updated": "2014-03-26",
        "status": "A",
        "authorized_official_last_name": "JORGENSON",
        "authorized_official_first_name": "STEVE",
        "authorized_official_title_or_position": "CEO/PRESIDENT",
        "authorized_official_telephone_number": "602-840-0937",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-2711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "886336",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 26, 2014; 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.