CSL-Chandler, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CSL-CHANDLER, LLC

Practice address

977 S Pennington Dr
Chandler, AZ 85224-5658

Phone

(480) 814-9046

NPI assigned

Jun 9, 2017

Organization subpart

No

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

Authorized official

Name

Candis Willis

Title

Regional Director

Phone

(530) 605-8841

Specialties & licenses 1

Addresses

Other names 1

• Pennington Gardens Assisted Living & Memory Care Doing business as

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

{
    "created_epoch": "1496966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1496966400000",
    "number": "1508395757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1580 VALLEY RIVER DR STE 260",
            "city": "EUGENE",
            "state": "OR",
            "postal_code": "974012193",
            "telephone_number": "541-636-3460",
            "fax_number": "541-636-3797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "977 S PENNINGTON DR",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245658",
            "telephone_number": "480-814-9046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CSL-CHANDLER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-09",
        "last_updated": "2017-06-09",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "CANDIS",
        "authorized_official_title_or_position": "REGIONAL DIRECTOR",
        "authorized_official_telephone_number": "530-605-8841"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pennington Gardens Assisted Living & Memory Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• William A. Crum, O.D.
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• Assisted Living Facility in Chandler, AZ
• Providers in Chandler, 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 Jun 9, 2017; 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.