Pine Meadows Ranch

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8132H Issued in AZ

Legal business name

PINE MEADOWS RANCH

Practice address

7885 Easy St
Flagstaff, AZ 86004-3268

Phone

(928) 635-6750

NPI assigned

Aug 8, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Donna Lynn Rose

Title

Owner

Phone

(928) 635-6750

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1344384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344384000000",
    "number": "1629325782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7885 EASY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043268",
            "telephone_number": "928-635-6750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7885 EASY ST",
            "city": "FLAGSTAFF",
            "state": "AZ",
            "postal_code": "860043268",
            "telephone_number": "928-635-6750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PINE MEADOWS RANCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-08-08",
        "last_updated": "2012-08-08",
        "status": "A",
        "authorized_official_last_name": "ROSE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "928-635-6750",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8132H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "283478",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark Henry Pico, MD
• Matthew Henry Pielecha, PA-C
• Katie Elizabeth Pierce, PT, DPT
• Joy Pietropaulo, RN
• Pine Forest Education Association, Inc
• Stacy Lynn Pinkston, SLP
• Pinnacle Therapy Solutions, LLC
• Pirruccello Pathology PC
• Beverly Pishkur, P.T.
• Eric Robert Pitcher, P.T.

• Assisted Living Facility in Flagstaff, AZ
• Providers in Flagstaff, 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 8, 2012; 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.