NPIMap

Organization Active NPI

Glynnis LLC

Doing business as Glynnis Place

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1720221633
Registry record updated Aug 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
GLYNNIS LLC
Doing business as
Glynnis Place
Practice address
4216 N 100TH Ave
Phoenix, AZ 85037-5914
Phone
(623) 694-8075
Fax
(623) 321-1381
NPI assigned
Apr 8, 2009
Last updated
Aug 15, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2011

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

Authorized official

Name
Mrs. Doristeen G Harraway, RN
Title
Director
Phone
(623) 694-8075

Specialties & licenses 1

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

Addresses

Primary practice location

4216 N 100TH Ave
Phoenix, AZ 85037-5914

Mailing address

4725 N 103Rd Dr
Phoenix, AZ 85037-5023
Phone (623) 694-8075

Other names 1

  • Glynnis Place 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": "1239148800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313366400000",
    "number": "1720221633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4725 N 103RD DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375023",
            "telephone_number": "623-694-8075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4216 N 100TH AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850375914",
            "telephone_number": "623-694-8075",
            "fax_number": "623-321-1381"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GLYNNIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-08",
        "last_updated": "2011-08-15",
        "status": "A",
        "authorized_official_last_name": "HARRAWAY",
        "authorized_official_first_name": "DORISTEEN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "623-694-8075",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Glynnis 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 Aug 15, 2011; 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.