Cotton Field Assisting Living

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

Legal business name

COTTON FIELD ASSISTING LIVING

Practice address

6638 S 57TH Ave
Laveen, AZ 85339-2254

Phone

(602) 705-8051

NPI assigned

Jan 14, 2022

Last updated

Jan 20, 2022By 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

Brandon WardNPI 1023755824

Title

Administrator

Phone

(602) 705-8051

Specialties & licenses 2

Addresses

Other names 1

• COTTON FIELD Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Brandon Ward

  • Case Manager/Care Coordinator
  • Laveen, AZ
  • NPI 1023755824
  NPD Authorized official

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

{
    "created_epoch": "1642118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1659022234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6638 S 57TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392254",
            "telephone_number": "602-705-8051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6638 S 57TH AVE",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853392254",
            "telephone_number": "602-705-8051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COTTON FIELD ASSISTING LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "WARD",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "602-705-8051"
    },
    "taxonomies": [
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COTTON FIELD",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "COTTON FIELD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Sharon Denise Cooper
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• Terry Cortez
• Covenant Behavioral Health Residential Facility.
• Covenant Care, LLC
• Teshonda Yvette Craven-Watkins, RN
• Robert Crawley
• Crescent Home Care LLC

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Laveen, AZ
• Providers in Laveen, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 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.