Active NPI
DP 10TH Place, LLC
- Assisted Living Facility
- Phoenix, AZ
National Provider Identifier
1669248571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- DP 10TH PLACE, LLC
- Practice address
- 7022 N 10TH PL
Phoenix, AZ 85020-5307 - Phone
- (602) 943-4842
- Fax
- (855) 339-5491
- NPI assigned
- Dec 1, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mazciel Hernandez
- Title
- Managing Member
- Phone
- (623) 738-6155
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | Primary |
Addresses
Primary practice location
7022 N 10TH PL
Phoenix, AZ 85020-5307
Mailing address
1214 E Palmaire Ave
Phoenix, AZ 85020-5429
Phone (602) 943-4842
Other names 1
- Desert Palm at 10th Place
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701388800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701388800000",
"number": "1669248571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1214 E PALMAIRE AVE",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205429",
"telephone_number": "602-943-4842",
"fax_number": "855-339-5491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7022 N 10TH PL",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850205307",
"telephone_number": "602-943-4842",
"fax_number": "855-339-5491"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DP 10TH PLACE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-01",
"last_updated": "2023-12-01",
"certification_date": "2023-12-01",
"status": "A",
"authorized_official_last_name": "HERNANDEZ",
"authorized_official_first_name": "MAZCIEL",
"authorized_official_title_or_position": "MANAGING MEMBER",
"authorized_official_telephone_number": "623-738-6155"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Desert Palm at 10th Place",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Dec 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.