Holy Name Assisted Living, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

HOLY NAME ASSISTED LIVING, LLC

Practice address

112 S Nebraska St
Chandler, AZ 85225-9561

Phone

(480) 912-5388

NPI assigned

Jun 18, 2018

Organization subpart

No

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

Authorized official

Name

Lovely Tanglao

Title

Owner

Phone

(480) 912-5388

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529280000000",
    "number": "1639663271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 S NEBRASKA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852259561"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 S NEBRASKA ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852259561",
            "telephone_number": "480-912-5388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY NAME ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-18",
        "last_updated": "2018-06-18",
        "status": "A",
        "authorized_official_last_name": "TANGLAO",
        "authorized_official_first_name": "LOVELY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-912-5388"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Matthew Holmes
• Jennifer Holmes, LPC
• Jordan Matthew Holmes, PT, DPT
• Ashleigh Nicole Holst
• Daniel Holtgrewe, DPT
• Derek Holyoak
• Rylee Holyoak, NMD
• Homan Hajbandeh, M.D., P.L.L.C
• Elizabeth G Homas-McKenna, M.D.
• Home for Me LLC

• Assisted Living Facility in Chandler, AZ
• Providers in Chandler, 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 Jun 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.