NPIMap

Organization Active NPI

Medical Management Systems, Inc.

Doing business as Sheridan Garden Assisted Living Home

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1598980427
Registry record updated Oct 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH-6047 Issued in AZ
Legal business name
MEDICAL MANAGEMENT SYSTEMS, INC.
Doing business as
Sheridan Garden Assisted Living Home
Practice address
7419 N 82ND LN
Glendale, AZ 85303-1817
Phone
(623) 937-9399
NPI assigned
Apr 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2007

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

Authorized official

Name
Mr. Carlos N. Jorge, MBA
Title
President, Ceo
Phone
(602) 909-9026

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH-6047 AZ Primary

Addresses

Primary practice location

7419 N 82ND LN
Glendale, AZ 85303-1817

Mailing address

7419 N 82ND LN
Glendale, AZ 85303-1817
Phone (623) 937-9399

Other identifiers 1

IdentifierTypeStateIssuer
175515MedicaidAZ

Other names 1

  • SHERIDAN GARDEN ASSISTED LIVING HOME Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Medical Management Systems Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1176681600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192492800000",
    "number": "1598980427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7419 N 82ND LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853031817",
            "telephone_number": "623-937-9399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7419 N 82ND LN",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853031817",
            "telephone_number": "623-937-9399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL MANAGEMENT SYSTEMS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-16",
        "last_updated": "2007-10-16",
        "status": "A",
        "authorized_official_last_name": "JORGE",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "N.",
        "authorized_official_title_or_position": "PRESIDENT, CEO",
        "authorized_official_telephone_number": "602-909-9026",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-6047",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "175515",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SHERIDAN GARDEN ASSISTED LIVING HOME",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2007; 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.