Prats Care Home L.L.C.

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

License

AL1754H Issued in AZ

Legal business name

PRATS CARE HOME L.L.C.

Practice address

13401 N 30TH St
Phoenix, AZ 85032-6028

Phone

(602) 996-6854

NPI assigned

May 8, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Luis Jesus Prats

Title

Director

Phone

(602) 568-8400

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1431043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1431043200000",
    "number": "1528446648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3015 E GELDING DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850325032",
            "telephone_number": "602-348-2115",
            "fax_number": "602-996-1577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13401 N 30TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850326028",
            "telephone_number": "602-996-6854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRATS CARE HOME L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-08",
        "last_updated": "2015-05-08",
        "status": "A",
        "authorized_official_last_name": "PRATS",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "JESUS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "602-568-8400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": "AZ",
            "license": "AL1754H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "531744",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Varsha Prasad
• Vikram Prasad, M.D.
• Priya Prasher, M.D.
• John Forrest Prater, D.O.
• Krishnapriya Marangattu Prathapan, M.D.
• Prats Residential Behavioral Health Agency II
• Prats Residential Behavioral Health Agency III
• Prats Residential Behavioral Health Agency IV
• Prats Residential Behavioral Health Agency LLC
• Derrell Pratt Blackburn, DC

• Assisted Living Facility (Mental Illness) in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Assisted Living Facility (Mental Illness) in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2015; 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.