Active NPI
George Gatana Muiru
- Nursing Home Administrator
- Chandler, AZ
National Provider Identifier
1578239000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Home Administrator
- License
- AL1176IH
- Practice address
- 1239 W Boston St
Chandler, AZ 85224-6168 - Phone
- (314) 354-0239
- NPI assigned
- Aug 16, 2021
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Home Administrator | 376G00000X | AL1176IH | AZ | Primary |
Addresses
Primary practice location
1239 W Boston St
Chandler, AZ 85224-6168
Mailing address
1239 W Boston St
Chandler, AZ 85224-6168
Phone (314) 354-0239
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AL1176IH | AZ | MD | Nursing Home Administrator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1629072000000",
"number": "1578239000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 W BOSTON ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246168",
"telephone_number": "314-354-0239"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1239 W BOSTON ST",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246168",
"telephone_number": "314-354-0239"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUIRU",
"first_name": "GEORGE",
"middle_name": "GATANA",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-16",
"last_updated": "2021-08-16",
"certification_date": "2021-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "376G00000X",
"taxonomy_group": "",
"desc": "Nursing Home Administrator",
"state": "AZ",
"license": "AL1176IH",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chandler, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.