Divine Mercy Adult Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9525H Issued in AZ

Legal business name

DIVINE MERCY ADULT CARE

Practice address

6208 S Parkside Dr
Tempe, AZ 85283-2639

Phone

(480) 427-2647

Fax

(480) 838-9668

NPI assigned

Jan 6, 2015

Last updated

Jan 6, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Josephine Tang

Title

Administrator

Phone

(480) 240-0278

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1420502400000",
    "number": "1538557095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6208 S PARKSIDE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832639",
            "telephone_number": "480-427-2647",
            "fax_number": "480-838-9668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6208 S PARKSIDE DR",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852832639",
            "telephone_number": "480-427-2647",
            "fax_number": "480-838-9668"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIVINE MERCY ADULT CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2015-01-06",
        "status": "A",
        "authorized_official_last_name": "TANG",
        "authorized_official_first_name": "JOSEPHINE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-240-0278",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9525H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Anthony Disalvo, PHARMD
• Dispatch Dental LLC (Smiles by Delivery)
• Margaret Elizabeth Distasio
• District Medical Group, Inc
• Alessandra Divincenzo
• Divineroute Transportation LLC
• Dixie Rose Enterprises (Homewatch CareGivers of Tempe and Sun Lakes)
• Brittney Leeann Dixson
• DMJ LLC (DMJ Serenity House Tempe)
• Tina DO-Trinh, RPH

• Assisted Living Facility in Tempe, AZ
• Providers in Tempe, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 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.