Dalla Mae Home Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9708H Issued in AZ

Legal business name

DALLA MAE HOME CARE

Practice address

13690 E 55TH Dr
Yuma, AZ 85367-8215

Phone

(928) 248-4182

Fax

(928) 366-1671

NPI assigned

Aug 28, 2015

Organization subpart

No

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

Authorized official

Name

Edda Adalla Contaoe Marcelo

Title

Owner

Phone

(928) 248-4182

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1440720000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440720000000",
    "number": "1548637200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13690 E 55TH DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678215",
            "telephone_number": "928-248-4182",
            "fax_number": "928-366-1671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13690 E 55TH DR",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853678215",
            "telephone_number": "928-248-4182",
            "fax_number": "928-366-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLA MAE HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-28",
        "last_updated": "2015-08-28",
        "status": "A",
        "authorized_official_last_name": "MARCELO",
        "authorized_official_first_name": "EDDA ADALLA",
        "authorized_official_middle_name": "CONTAOE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-248-4182"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9708H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Yuma, AZ
• Providers in Yuma, 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 Aug 28, 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.