NPIMap

Organization Active NPI

Dpac Holdings LLC

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1669937843
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
DPAC HOLDINGS LLC
Practice address
7022 N 10TH PL
Phoenix, AZ 85020-5307
Phone
(602) 943-4842
NPI assigned
Feb 1, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Authorized official

Name
Jean Gonzvar
Title
Managing Member
Phone
(602) 943-4842

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

Other identifiers 1

IdentifierTypeStateIssuer
323169MedicaidAZ

National Provider Directory

National Provider Directory
Tax ID family
Dpac Holdings LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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": "1548979200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1548979200000",
    "number": "1669937843",
    "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"
        },
        {
            "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"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DPAC HOLDINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-01",
        "last_updated": "2019-02-01",
        "status": "A",
        "authorized_official_last_name": "GONZVAR",
        "authorized_official_first_name": "JEAN",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-943-4842"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "323169",
            "state": "AZ"
        }
    ],
    "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 Feb 1, 2019; 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.