Active NPI
Winding Woods Manor L,L.C.
- Mental Illness Community Based Residential Treatment Facility
- Gilbert, AZ
National Provider Identifier
1518311547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- License
- BH4847
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Tax ID family
- Winding Woods Manor LLC
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Illness Community Based Residential Treatment Facility
- Chandler, AZ
- NPI 1487923439
-
- Mental Illness Community Based Residential Treatment Facility
- Chandler, AZ
- NPI 1952993388
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.