Organization Active NPI

Winding Woods Manor L,L.C.

  • Mental Illness Community Based Residential Treatment Facility
  • Gilbert, AZ
National Provider Identifier
1518311547
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
License
BH4847 Issued in AZ
Legal business name
WINDING WOODS MANOR L,L.C.
Practice address
3438 E Derringer Way
Gilbert, AZ 85297-7778
Phone
(480) 776-9261
NPI assigned
Apr 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Authorized official

Name
Kariuki Kungu
Title
Program Coordinator
Phone
(951) 707-7337

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X BH4847 AZ Primary

Addresses

Primary practice location

3438 E Derringer Way
Gilbert, AZ 85297-7778

Mailing address

3977 E Scorpio PL
Chandler, AZ 85249-5908
Phone (480) 776-9261

Other names 1

  • Winding Woods Manor II Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Winding Woods Manor LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460678400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565308800000",
    "number": "1518311547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3977 E SCORPIO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495908",
            "telephone_number": "480-776-9261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3438 E DERRINGER WAY",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852977778",
            "telephone_number": "480-776-9261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINDING WOODS MANOR L,L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-15",
        "last_updated": "2019-08-09",
        "status": "A",
        "authorized_official_last_name": "KUNGU",
        "authorized_official_first_name": "KARIUKI",
        "authorized_official_title_or_position": "PROGRAM COORDINATOR",
        "authorized_official_telephone_number": "951-707-7337"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "AZ",
            "license": "BH4847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Winding Woods Manor II",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gilbert, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.