Premier Group Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

PREMIER GROUP HOME

Practice address

11003 W Alvarado Rd
Avondale, AZ 85392-5466

Phone

(480) 465-2944

NPI assigned

Dec 4, 2017

Last updated

Dec 4, 2017By 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

Mrs. Nora Cruz

Title

President

Phone

(480) 465-2944

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1512345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512345600000",
    "number": "1639684319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 W ALVARADO RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925466",
            "telephone_number": "480-465-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11003 W ALVARADO RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853925466",
            "telephone_number": "480-465-2944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREMIER GROUP HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-04",
        "last_updated": "2017-12-04",
        "status": "A",
        "authorized_official_last_name": "CRUZ",
        "authorized_official_first_name": "NORA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "480-465-2944",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Assisted Living Facility in Avondale, AZ
• Providers in Avondale, 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 Dec 4, 2017; 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.