Foothills Adult Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL9319H Issued in AZ

Legal business name

FOOTHILLS ADULT CARE HOME

Practice address

12447 S Sandra Ave
Yuma, AZ 85367-6020

Phone

(928) 305-8888

Fax

(928) 325-0368

NPI assigned

Mar 14, 2016

Last updated

Mar 14, 2016By 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

Chanh Tran

Title

Manger

Phone

(928) 305-8888

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1588025894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12447 S SANDRA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853676020",
            "telephone_number": "928-305-8888",
            "fax_number": "928-325-0368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12447 S SANDRA AVE",
            "city": "YUMA",
            "state": "AZ",
            "postal_code": "853676020",
            "telephone_number": "928-305-8888",
            "fax_number": "928-325-0368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOTHILLS ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "CHANH",
        "authorized_official_title_or_position": "MANGER",
        "authorized_official_telephone_number": "928-305-8888"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL9319H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henry Florez, M.D.
• Focused Imaging of Arizona Inc
• Focused Imaging of Arizona Inc
• Focused Medical LLC
• Gabriel A Fonseca, PT
• Foothills Adult Care Home
• Foothills Blvd Clinic LLC
• Foothills Shoes LLC
• Foothills Walkin Medical
• Patrick Craig Ford, PHYSICIAN ASSISTANT

• 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 Mar 14, 2016; 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.