Palm View Assisted Living, LLC.

Primary specialty

Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityTaxonomy code 320900000X

License

07646057 Issued in AZ

Legal business name

PALM VIEW ASSISTED LIVING, LLC.

Doing business as

Palm View

Practice address

11650 E Speedway Blvd
Tucson, AZ 85748-2016

Phone

(520) 722-9223

Fax

(520) 721-9379

NPI assigned

Jan 8, 2009

Last updated

Jan 8, 2009By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Richard Nowell

Title

Owner, Executive Director

Phone

(520) 571-8120

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Palm View Doing business as

Locations

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

{
    "created_epoch": "1231372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1720225055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11650 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482016",
            "telephone_number": "520-722-9223",
            "fax_number": "520-721-9379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11650 E SPEEDWAY BLVD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857482016",
            "telephone_number": "520-722-9223",
            "fax_number": "520-721-9379"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PALM VIEW ASSISTED LIVING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-08",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "NOWELL",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER, EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "520-571-8120"
    },
    "taxonomies": [
        {
            "code": "320900000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "AZ",
            "license": "07646057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS PROVIDER ID",
            "identifier": "912312",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Palm View",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Leanna Palermo, D.C.
• Ian Palese, PHARMD
• Jeremiah James Palicka, RN, CRNA
• Brigitte Pallavicini
• Frank Paul Pallavicini II, LPC
• Adriona Palmer
• Andrew Thomas Palmer, RN
• Barbara J Palmer, NURSE PRACTITIONER
• Craig M Palmer, MD
• John Davis Palmer, MD

• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.