Candice Anderson

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

ALH 6059 Issued in AZ

Legal business name

CANDICE ANDERSON

Doing business as

Desert Willow Assisted Living

Practice address

1091 E Kent PL
Chandler, AZ 85225-8621

Phone

(480) 634-6290

Fax

(480) 634-6294

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Candice Lee Anderson

Title

Owner

Phone

(480) 239-1768

Specialties & licenses 1

Addresses

Other names 1

• Desert Willow Assisted Living Doing business as

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213315200000",
    "number": "1699804013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 E KENT PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258621",
            "telephone_number": "480-634-6290",
            "fax_number": "480-634-6294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 E KENT PL",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852258621",
            "telephone_number": "480-634-6290",
            "fax_number": "480-634-6294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDICE ANDERSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2008-06-13",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "LEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-239-1768",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH 6059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Desert Willow Assisted Living",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Sidney Campbell, LMT
• Timothy Robert Campbell, RN
• Marion Jayne Camping, OTR
• Kyana Mae Canady
• Deanna Lynn Candek, PHARMD
• Rudolph Cane, MD
• Cynthia Canez, LPC
• Isabel Canez, RD
• Alex Milciades Cano, M.D.
• Adara Monet Cantrell

• Assisted Living Facility in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Assisted Living Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2008; 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.