Silver Creek Manors LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

SILVER CREEK MANORS LLC

Practice address

4608 E Caballero St Apt 2
Mesa, AZ 85205-2764

Phone

(619) 971-9626

NPI assigned

Oct 17, 2019

Organization subpart

No

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

Authorized official

Name

Lenore Gaines

Title

Owner

Phone

(619) 971-9626

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1571270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571270400000",
    "number": "1528601960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4608 E CABALLERO ST APT 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852052764",
            "telephone_number": "619-971-9626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4608 E CABALLERO ST APT 2",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852052764",
            "telephone_number": "619-971-9626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SILVER CREEK MANORS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-17",
        "last_updated": "2019-10-17",
        "status": "A",
        "authorized_official_last_name": "GAINES",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "619-971-9626"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payton Sills, RBT
• Gleymari Caridad Silva Roque
• Linda A Silva, P.A.-C
• Lupe Silva, BHT, AAS
• Shannon Lee Silvasti, MASTERS COMMUNICATIO
• Silver Lining Behavioral Health Care Homes
• Robin D Silver, MD
• David Silvestre, RCS
• Ashley Silvey, AGACNP-BC
• Hannah Simmer, SLP

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.