Organization Active NPI

Stretchedoutcare LLC

  • Assisted Living Facility (Mental Illness)
  • Chandler, AZ
National Provider Identifier
1710558531
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X
Legal business name
STRETCHEDOUTCARE LLC
Doing business as
StretchedOutCare LLC
Practice address
881 E Chicago St
Chandler, AZ 85225-9425
Phone
(480) 427-5097
Fax
(480) 687-2783
NPI assigned
Jul 2, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Authorized official

Name
Woyengipriye Tonia Akinyoyenu
Title
Manager
Phone
(480) 427-5097

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility (Mental Illness) 3104A0625X Primary

Addresses

Primary practice location

881 E Chicago St
Chandler, AZ 85225-9425

Mailing address

881 E Chicago St
Chandler, AZ 85225-9425
Phone (480) 427-5097

Other identifiers 1

IdentifierTypeStateIssuer
389191MedicaidAZ

Other names 1

  • StretchedOutCare LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1625184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1625184000000",
    "number": "1710558531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "881 E CHICAGO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852259425",
            "telephone_number": "480-427-5097",
            "fax_number": "480-687-2783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 E CHICAGO ST",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852259425",
            "telephone_number": "480-427-5097",
            "fax_number": "480-687-2783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRETCHEDOUTCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-02",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A",
        "authorized_official_last_name": "AKINYOYENU",
        "authorized_official_first_name": "WOYENGIPRIYE",
        "authorized_official_middle_name": "TONIA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "480-427-5097"
    },
    "taxonomies": [
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "389191",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "StretchedOutCare LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Jul 2, 2021; 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.