Majestic Villa Assisted Living

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MAJESTIC VILLA ASSISTED LIVING

Practice address

8236 N 57TH Dr
Glendale, AZ 85302-5906

Phone

(623) 594-7904

Fax

(623) 691-7975

NPI assigned

Dec 8, 2020

Organization subpart

No

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

Authorized official

Name

Kirsten Carr, MDNPI 1225054646

Title

Owner

Phone

(503) 740-6693

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kirsten Marie Winn Carr, M.D.

  • Family Medicine Physician
  • Portland, OR
  • NPI 1225054646
  NPD Authorized official

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607385600000",
    "number": "1649876418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5252 SW IDAHO ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972211617",
            "telephone_number": "503-740-6693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8236 N 57TH DR",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853025906",
            "telephone_number": "623-594-7904",
            "fax_number": "623-691-7975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAJESTIC VILLA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A",
        "authorized_official_last_name": "CARR",
        "authorized_official_first_name": "KIRSTEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "503-740-6693",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "file",
            "affiliation": "N",
            "endpointDescription": "file",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "fax",
            "address_1": "8236 N 57th Dr",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853025906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Landis Randall Mains, PT, DPT
• Ann Marie Maisch, SLP
• Charles Maitland, PTA
• Felicia Maize
• Majestic Villa Al
• Desiree Celeste Major, DPM
• Hayam Hadi Majow
• Tafadzwa P Makarawo, MD
• Samer Makhoul, M.D.
• Manale Maksour

• Assisted Living Facility in Glendale, AZ
• Providers in Glendale, 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 8, 2020; 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.