Crismon Peaks Assisted Living, LLC

Primary specialty

Nursing Home AdministratorTaxonomy code 376G00000X

Legal business name

CRISMON PEAKS ASSISTED LIVING, LLC

Practice address

10027 E Hillview St
Mesa, AZ 85207-4143

Phone

(480) 354-1006

Fax

(480) 380-3095

NPI assigned

Sep 7, 2022

Organization subpart

No

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

Authorized official

Name

Chaim Zimmerman

Title

Managing Partner

Phone

(480) 354-1006

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1662508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662508800000",
    "number": "1669193678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10027 E HILLVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074143",
            "telephone_number": "480-354-1006",
            "fax_number": "480-380-3095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10027 E HILLVIEW ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852074143",
            "telephone_number": "480-354-1006",
            "fax_number": "480-380-3095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRISMON PEAKS ASSISTED LIVING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-07",
        "last_updated": "2022-09-07",
        "certification_date": "2022-09-07",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "480-354-1006"
    },
    "taxonomies": [
        {
            "code": "376G00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nursing Home Administrator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "admin@crismonpeaksaz.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10027 E Hillview St",
            "city": "Mesa",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852074143",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Colleen F Crews-Sipe, LISAC
• Crexmed
• Jared Matthew Criddle, M.D.
• Allen J Crimmins
• Natalie Sabrina Crisan, DO
• Crismon Road Dmso LLC
• Cali Crismon, LAC
• Michael D Crismon, D.C.
• Michael Crockett, DDS
• Christa Crohurst, LAC

• Nursing Home Administrator in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Nursing Home Administrator in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.