Organization Active NPI

Sonoran Sky Assisted Living Care Home LLC

  • Adult Care Home Facility
  • Phoenix, AZ
National Provider Identifier
1750112066
Registry record updated Aug 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Care Home FacilityTaxonomy code 311ZA0620X
Legal business name
SONORAN SKY ASSISTED LIVING CARE HOME LLC
Practice address
3411 E Poinsettia Dr
Phoenix, AZ 85028-1328
Phone
(623) 399-7094
NPI assigned
Aug 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2024

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

Authorized official

Name
Maria Moldovan
Title
Owner/Administrator
Phone
(623) 399-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Care Home Facility 311ZA0620X Primary

Addresses

Primary practice location

3411 E Poinsettia Dr
Phoenix, AZ 85028-1328

Mailing address

3411 E Poinsettia Dr
Phoenix, AZ 85028-1328

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723075200000",
    "number": "1750112066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3411 E POINSETTIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 E POINSETTIA DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850281328",
            "telephone_number": "623-399-7094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SONORAN SKY ASSISTED LIVING CARE HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A",
        "authorized_official_last_name": "MOLDOVAN",
        "authorized_official_first_name": "MARIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "623-399-7094"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": null,
            "license": null,
            "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 Aug 8, 2024; 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.