Organization Active NPI

Cactus Adult Care Home

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1639353196
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
09492 Issued in AZ
Legal business name
CACTUS ADULT CARE HOME
Practice address
2323 E Larkspur Dr
Phoenix, AZ 85022-5845
Phone
(602) 595-3530
Fax
(602) 595-3530
NPI assigned
Dec 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Ms. Malissa Posyananda
Title
Assisted Living Facility Manager
Phone
(602) 595-3530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 09492 AZ Primary

Addresses

Primary practice location

2323 E Larkspur Dr
Phoenix, AZ 85022-5845

Mailing address

2323 E Larkspur Dr
Phoenix, AZ 85022-5845
Phone (602) 595-3530

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1198022400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1639353196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2323 E LARKSPUR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225845",
            "telephone_number": "602-595-3530",
            "fax_number": "602-595-3530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2323 E LARKSPUR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850225845",
            "telephone_number": "602-595-3530",
            "fax_number": "602-595-3530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CACTUS ADULT CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-19",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "POSYANANDA",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "ASSISTED LIVING FACILITY MANAGER",
        "authorized_official_telephone_number": "602-595-3530",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "09492",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 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.