Netone Enterprises, Inc.

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

ALF6599 Issued in AZ

Legal business name

NETONE ENTERPRISES, INC.

Doing business as

Shadow Ridge Villa

Practice address

1259 E Macaw Dr
Gilbert, AZ 85297-4527

Phone

(480) 628-5923

NPI assigned

Aug 29, 2007

Last updated

Aug 29, 2007By 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

Melca Azcarraga Medina, RN

Title

Manager/Owner

Phone

(480) 628-5923

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Shadow Ridge Villa Doing business as

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

{
    "created_epoch": "1188345600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188345600000",
    "number": "1659565034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 E LEO PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495881",
            "telephone_number": "480-629-8200",
            "fax_number": "480-718-7955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 E MACAW DR",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852974527",
            "telephone_number": "480-628-5923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NETONE ENTERPRISES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-29",
        "last_updated": "2007-08-29",
        "status": "A",
        "authorized_official_last_name": "MEDINA",
        "authorized_official_first_name": "MELCA",
        "authorized_official_middle_name": "AZCARRAGA",
        "authorized_official_title_or_position": "MANAGER/OWNER",
        "authorized_official_telephone_number": "480-628-5923",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "AZ",
            "license": "ALF6599",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF HEALTH",
            "identifier": "ALH6599",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Shadow Ridge Villa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Shelly Nentwig, LMT
• Alan David Nesbit, LCSW
• Neshama Birth Services, LLC
• Jean Philippe Nesseler, MD
• Daniel Nethala, M.D
• Maribel Guadalupe Neufeld, RN
• Marie Neugent
• Neuragenex LLC
• Neuro Focus Center LLC
• Neurogenix, LLC

• Adult Care Home Facility in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Adult Care Home Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2007; 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.