605 S 30TH Circle LLC

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

605 S 30TH CIRCLE LLC

Doing business as

Ams Living LLC

Practice address

605 S 30TH Cir
Mesa, AZ 85204-3119

Phone

(480) 760-5303

NPI assigned

Mar 21, 2023

Last updated

Mar 21, 2023By the provider in NPPES

Organization subpart

Yes

Parent organization

AMS LIVING, LLCAs reported in NPPES

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

Authorized official

Name

Stephanie Padilla

Title

Owner

Phone

(480) 760-5303

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• AMS LIVING LLC Doing business as

Part of

Ams Living LLC

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Ams Living, LLC

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Mesa, AZ
  • NPI 1285245407
  NPPES parent name

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

{
    "created_epoch": "1679356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1649972605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 S 30TH CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043119",
            "telephone_number": "480-760-5303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 S 30TH CIR",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852043119",
            "telephone_number": "480-760-5303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "605 S 30TH CIRCLE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMS LIVING, LLC",
        "enumeration_date": "2023-03-21",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "PADILLA",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-760-5303"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85-3931252",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AMS LIVING LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Mental Illness Community Based Residential Treatment Facility in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Mental Illness Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.