Madera Assisted Living Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH-5008 Issued in AZ

Legal business name

MADERA ASSISTED LIVING HOME

Practice address

707 W Palo Verde St
Gilbert, AZ 85233-5841

Phone

(480) 663-3652

NPI assigned

Jan 9, 2007

Last updated

Aug 13, 2008By 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

Ms. Maria C Heywood

Title

Owner-Manager

Phone

(480) 663-3652

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218585600000",
    "number": "1609925718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 W PALO VERDE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 W PALO VERDE ST",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852335841",
            "telephone_number": "480-663-3652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MADERA ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2008-08-13",
        "status": "A",
        "authorized_official_last_name": "HEYWOOD",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER-MANAGER",
        "authorized_official_telephone_number": "480-663-3652",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-5008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVERCARE PARADIGM ID NO.",
            "identifier": "002639252",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sumit Madan, MD
• David T Madder, DMD
• Carmen P Maddocks, NP-C
• Elaina Maddox
• Bobby Madeira, LAC
• Elizabeth Chelsey Madison, MA, RBT
• Thanyathorn Madrid
• Meg Magdaleno
• Magellan Health Services of Arizona, Inc
• Shea D. Magill, CRNA

• Assisted Living Facility in Gilbert, AZ
• Providers in Gilbert, 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 Aug 13, 2008; 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.