Organization Active NPI

Hallmark Assisted Living @ Pacey, LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1659728657
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
HALLMARK ASSISTED LIVING @ PACEY, LLC
Practice address
2022 N Pacey Rd
Phoenix, AZ 85037-6301
Phone
(602) 374-2784
NPI assigned
May 19, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Jeff Tilley
Title
Manager
Phone
(602) 695-4156

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2022 N Pacey Rd
Phoenix, AZ 85037-6301

Mailing address

4365 E Pecos Rd Ste 133
Gilbert, AZ 85295-8053

National Provider Directory

National Provider Directory

Locations

4365 E Pecos Rd
Ste 133
Gilbert, AZ 85295

NPI Registry JSON

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

{
    "created_epoch": "1463616000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1659728657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4365 E PECOS RD STE 133",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852958053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 N PACEY RD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850376301",
            "telephone_number": "602-374-2784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLMARK ASSISTED LIVING @ PACEY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-19",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "TILLEY",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "602-695-4156"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.