Verdant Seniors Place LLC

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

AL9850H Issued in AZ

Legal business name

VERDANT SENIORS PLACE LLC

Practice address

8207 W Nicolet Ave
Glendale, AZ 85303-1822

Phone

(602) 818-6700

Fax

(602) 715-2257

NPI assigned

Apr 28, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Ma Teresita Patino Isiderio

Title

President/Owner

Phone

(602) 818-6700

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1461801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1461801600000",
    "number": "1639524598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8207 W NICOLET AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853031822",
            "telephone_number": "602-818-6700",
            "fax_number": "602-715-2257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8207 W NICOLET AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853031822",
            "telephone_number": "602-818-6700",
            "fax_number": "602-715-2257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VERDANT SENIORS PLACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-28",
        "last_updated": "2016-04-28",
        "status": "A",
        "authorized_official_last_name": "ISIDERIO",
        "authorized_official_first_name": "MA TERESITA",
        "authorized_official_middle_name": "PATINO",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "602-818-6700",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "AL9850H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Michelle Velez
• Ana Laura Velo Legarreta
• Cameron Ventura, PT
• Lydia Christine Veratti, FAMILY PMHNP-BC
• Jacqueline Elizabeth Vercauteren
• Christopher J Verdi, M.D.
• Jocelyn Verdugo, DO
• Karen Lee Vergamini, M.C.
• Eugene Verkhovsky, M.D.
• Sandra Verlinde-Laksono

• Adult Care Home Facility in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 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.