Organization Active NPI

Doubletree Ranchos Assisted Living, LLC

  • Assisted Living Facility
  • Paradise Valley, AZ
National Provider Identifier
1578067757
Registry record updated Mar 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL875OH Issued in AZ
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

Updated by the provider on Mar 21, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
AL875OHMedicaidAZ

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.