Organization Active NPI

Alpha Assisted Living

  • Assisted Living Facility
  • Phoenix, AZ
National Provider Identifier
1720560410
Registry record updated Oct 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
AL8742H Issued in AZ
Legal business name
ALPHA ASSISTED LIVING
Practice address
18802 N 38TH St
Phoenix, AZ 85050-2617
Phone
(602) 705-4430
NPI assigned
Aug 30, 2018
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Constantin Gruia
Title
Owner
Phone
(602) 705-4430

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X AL8742H AZ Primary

Addresses

NPPES NPI Registry

Primary practice location

18802 N 38TH St
Phoenix, AZ 85050-2617

Mailing address

18802 N 38TH St
Phoenix, AZ 85050-2617
Phone (602) 705-4430

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 15, 2020.

{
    "created_epoch": "1535587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602720000000",
    "number": "1720560410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18802 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502617",
            "telephone_number": "602-705-4430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18802 N 38TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850502617",
            "telephone_number": "602-705-4430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA ASSISTED LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-30",
        "last_updated": "2020-10-15",
        "certification_date": "2020-10-15",
        "status": "A",
        "authorized_official_last_name": "GRUIA",
        "authorized_official_first_name": "CONSTANTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-705-4430"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AZ",
            "license": "AL8742H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 15, 2020; 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.