Organization Active NPI

Casa de Capri Enterprises

  • Skilled Nursing Facility
  • Phoenix, AZ
National Provider Identifier
1740277136
Registry record updated Dec 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NCI-272 Issued in AZ
Legal business name
CASA DE CAPRI ENTERPRISES
Practice address
1501 E Orangewood Ave
Phoenix, AZ 85020-5130
Phone
(602) 944-1574
Fax
(602) 626-8549
NPI assigned
Sep 30, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2010

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

Authorized official

Name
Mr. Don Pierce
Title
Executive Director
Phone
(602) 944-1574

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NCI-272 AZ Primary

Addresses

Primary practice location

1501 E Orangewood Ave
Phoenix, AZ 85020-5130

Mailing address

1501 E Orangewood
Phoenix, AZ 85020-5199
Phone (602) 944-1574

Other identifiers 1

IdentifierTypeStateIssuer
040220MedicaidAZ

Other names 1

  • Capri at the Pointe Rehab Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292803200000",
    "number": "1740277136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 E ORANGEWOOD",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205199",
            "telephone_number": "602-944-1574",
            "fax_number": "602-626-8549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 E ORANGEWOOD AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850205130",
            "telephone_number": "602-944-1574",
            "fax_number": "602-626-8549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA DE CAPRI ENTERPRISES",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-30",
        "last_updated": "2010-12-20",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "DON",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "602-944-1574",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "AZ",
            "license": "NCI-272",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "040220",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Capri at the Pointe Rehab",
            "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 Dec 20, 2010; 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.