Organization Active NPI

Carriage Assisted Living Home

  • Assisted Living Facility
  • Chandler, AZ
National Provider Identifier
1710158878
Registry record updated Jun 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
ALH-5803 Issued in AZ
Legal business name
CARRIAGE ASSISTED LIVING HOME
Practice address
3352 N Carriage LN
Chandler, AZ 85224-1107
Phone
(480) 350-7355
Fax
(480) 350-7355
NPI assigned
Mar 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2008

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

Authorized official

Name
Luz M De Vera
Title
Administrator/Manager
Phone
(480) 350-7355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X ALH-5803 AZ Primary

Addresses

Primary practice location

3352 N Carriage LN
Chandler, AZ 85224-1107

Mailing address

3352 N Carriage LN
Chandler, AZ 85224-1107
Phone (480) 350-7355

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1205712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213488000000",
    "number": "1710158878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3352 N CARRIAGE LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241107",
            "telephone_number": "480-350-7355",
            "fax_number": "480-350-7355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3352 N CARRIAGE LN",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852241107",
            "telephone_number": "480-350-7355",
            "fax_number": "480-350-7355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARRIAGE ASSISTED LIVING HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-17",
        "last_updated": "2008-06-15",
        "status": "A",
        "authorized_official_last_name": "DE VERA",
        "authorized_official_first_name": "LUZ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR/MANAGER",
        "authorized_official_telephone_number": "480-350-7355"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "ALH-5803",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chandler, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.