NPIMap

Organization Active NPI

Pastalino Manor LLC 5

  • Psychiatric Residential Treatment Facility
  • Laveen, AZ
National Provider Identifier
1659911576
Registry record updated Jan 8, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
PASTALINO MANOR LLC 5
Practice address
8815 S 57TH LN
Laveen, AZ 85339-5291
Phone
(480) 634-5485
Fax
(480) 699-7288
NPI assigned
Jan 8, 2020
Last updated
Jan 8, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
PASTALINO MANOR LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 8, 2020

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

Authorized official

Name
Mr. Paul Munyao Kivila Sr.
Title
Administrator
Phone
(480) 634-5485

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Residential Treatment Facility 323P00000X NU Primary

Addresses

Primary practice location

8815 S 57TH LN
Laveen, AZ 85339-5291

Mailing address

1383 W Kesler LN
Chandler, AZ 85224-7289
Phone (951) 236-4717

National Provider Directory

National Provider Directory
Tax ID family
Pastalino Manor LLC 59 organizations share this tax ID, including this one
Part of
Pastalino Manor LLC 5

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1578441600000",
    "number": "1659911576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1383 W KESLER LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852247289",
            "telephone_number": "951-236-4717",
            "fax_number": "480-699-7288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8815 S 57TH LN",
            "city": "LAVEEN",
            "state": "AZ",
            "postal_code": "853395291",
            "telephone_number": "480-634-5485",
            "fax_number": "480-699-7288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PASTALINO MANOR LLC 5",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PASTALINO MANOR LLC",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A",
        "authorized_official_last_name": "KIVILA",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "MUNYAO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "480-634-5485",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laveen, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; 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.