Organization Active NPI

Embrace Assisted Living LLC

  • Assisted Living Facility
  • Mesa, AZ
National Provider Identifier
1508605130
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
EMBRACE ASSISTED LIVING LLC
Practice address
7256 E Onza Ave
Mesa, AZ 85212-9783
Phone
(480) 601-3482
NPI assigned
May 22, 2024
Last updated
May 22, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Authorized official

Name
Nico Miguel Rubin Galsim
Title
Owner
Phone
(480) 540-8503

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X NU Primary

Addresses

Primary practice location

7256 E Onza Ave
Mesa, AZ 85212-9783

Mailing address

6837 S Birdie Way
Gilbert, AZ 85298-4167

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1716336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716336000000",
    "number": "1508605130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6837 S BIRDIE WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852984167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7256 E ONZA AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852129783",
            "telephone_number": "480-601-3482"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACE ASSISTED LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-22",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A",
        "authorized_official_last_name": "GALSIM",
        "authorized_official_first_name": "NICO MIGUEL",
        "authorized_official_middle_name": "RUBIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-540-8503"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.