Active NPI
Doubletree Ranchos Assisted Living, LLC
- Assisted Living Facility
- Paradise Valley, AZ
National Provider Identifier
1578067757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- License
- AL875OH
- Legal business name
- DOUBLETREE RANCHOS ASSISTED LIVING, LLC
- Practice address
- 5706 E Horseshoe Rd
Paradise Valley, AZ 85253-2249 - Phone
- (601) 369-0874
- Fax
- (602) 867-0539
- NPI assigned
- Mar 21, 2018
- 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
- Mrs. Linda Ann Megyesi
- Title
- Member
- Phone
- (602) 369-0874
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | AL875OH | AZ | Primary |
Addresses
Primary practice location
5706 E Horseshoe Rd
Paradise Valley, AZ 85253-2249
Mailing address
17032 N 58TH Way
Scottsdale, AZ 85254-5921
Phone (602) 369-0874
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AL875OH | Medicaid | AZ |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521590400000",
"number": "1578067757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17032 N 58TH WAY",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852545921",
"telephone_number": "602-369-0874",
"fax_number": "602-867-0539"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5706 E HORSESHOE RD",
"city": "PARADISE VALLEY",
"state": "AZ",
"postal_code": "852532249",
"telephone_number": "601-369-0874",
"fax_number": "602-867-0539"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUBLETREE RANCHOS ASSISTED LIVING, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-21",
"last_updated": "2018-03-21",
"status": "A",
"authorized_official_last_name": "MEGYESI",
"authorized_official_first_name": "LINDA",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "602-369-0874",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "AZ",
"license": "AL875OH",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "AL875OH",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Paradise Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.