Individual provider Active NPI

Angelita Miguel

  • Assisted Living Facility
  • Glendale, AZ
National Provider Identifier
1659007664
Registry record updated Aug 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Practice address
6088 N 85TH Ave
Glendale, AZ 85305-2565
Phone
(623) 388-3514
NPI assigned
Aug 1, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

6088 N 85TH Ave
Glendale, AZ 85305-2565

Mailing address

16206 N 1St Dr
Phoenix, AZ 85023-7480
Phone (520) 730-3428

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL GLENDALE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1659312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659312000000",
    "number": "1659007664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16206 N 1ST DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850237480",
            "telephone_number": "520-730-3428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6088 N 85TH AVE",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853052565",
            "telephone_number": "623-388-3514"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIGUEL",
        "first_name": "ANGELITA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-01",
        "last_updated": "2022-08-01",
        "certification_date": "2022-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "GLENDALE",
            "affiliation": "N",
            "address_1": "6088 N 85th Ave",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "853052565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2022; 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.